{"source":"https://www.stedi.com/healthcare/network","retrievedOn":"2026-11-10","recordCount":3681,"sourceSha256":"146135a878efa17acd3701e7b7a544accf3acb467b6419179bff2da15ab2a10c","columns":["StediId","PrimaryPayerId","DisplayName","Names","Aliases","EligibilityInquiry","EligibilityInquiryEnrollmentRequired","EligibilityInquiryEnrollmentType","EligibilityInquiryEnrollmentTimeframe","EligibilityInquiryEnrollmentRequestedEffectiveDate","ClaimStatusInquiry","ClaimStatusInquiryEnrollmentRequired","ClaimStatusInquiryEnrollmentType","ClaimStatusInquiryEnrollmentTimeframe","ClaimStatusInquiryEnrollmentRequestedEffectiveDate","ProfessionalClaim","ProfessionalClaimEnrollmentRequired","ProfessionalClaimEnrollmentType","ProfessionalClaimEnrollmentTimeframe","ProfessionalClaimEnrollmentRequestedEffectiveDate","InstitutionalClaim","InstitutionalClaimEnrollmentRequired","InstitutionalClaimEnrollmentType","InstitutionalClaimEnrollmentTimeframe","InstitutionalClaimEnrollmentRequestedEffectiveDate","DentalClaim","DentalClaimEnrollmentRequired","DentalClaimEnrollmentType","DentalClaimEnrollmentTimeframe","DentalClaimEnrollmentRequestedEffectiveDate","ClaimPaymentAdvice","ClaimPaymentAdviceEnrollmentRequired","ClaimPaymentEnrollmentType","ClaimPaymentEnrollmentTimeframe","ClaimPaymentEnrollmentSupportedAggregationPreferences","ClaimPaymentEnrollmentRequestedEffectiveDate","CoordinationOfBenefits","CoordinationOfBenefitsEnrollmentRequired","CoordinationOfBenefitsEnrollmentType","CoordinationOfBenefitsEnrollmentTimeframe","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate","ClaimAttachmentsSupport","ClaimAttachmentsSupportEnrollmentRequired","ClaimAttachmentEnrollmentType","ClaimAttachmentEnrollmentTimeframe","ClaimAttachmentEnrollmentRequestedEffectiveDate","EmployerIdentificationNumbers","CoverageTypes","OperatingStates","Programs","PtanRequired","ParentPayerGroupId","ParentPayerGroupName","WebsiteUrl","ElectronicFundsTransfer","ElectronicFundsTransferEnrollmentRequired","ElectronicFundsTransferEnrollmentType","ElectronicFundsTransferEnrollmentTimeframe","ElectronicFundsTransferEnrollmentRequestedEffectiveDate","ClaimPaymentAdviceWithElectronicFundsTransfer","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate"],"notes":"Public payer-routing data, not patient data. CSV values are preserved as strings, including leading zeroes in IDs. True support may require enrollment. No separate 277CA capability field is supplied.","payers":[{"StediId":"JKXWQ","PrimaryPayerId":"FRN01","DisplayName":"052 Franciscan HMND","Names":"Franciscan Health Hammond","Aliases":"4134|9097|FRN01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IN","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.franciscanhealth.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NVDMY","PrimaryPayerId":"83729","DisplayName":"11 Med Funding","Names":"11Med Funding","Aliases":"3782|83729|9052","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://11med.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"STIKE","PrimaryPayerId":"13162","DisplayName":"1199SEIU National Benefit Fund","Names":"SEIU","Aliases":"1199NB|13162|4551|5405","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.1199seiubenefits.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JNKAR","PrimaryPayerId":"2020E","DisplayName":"20/20 Eye Care Network","Names":"2020 Eyecare","Aliases":"2020E|8215","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.our2020.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WDWLW","PrimaryPayerId":"42558","DisplayName":"20201L","Names":"20201L|Ahts Architects Plc|Automotive Electric Inc|Bravo Printing Inc|Cambrian Granite & Stone Ii|Eslick Financial Group Inc|Impact Marketing Solutions Llc|Kaila Egan Od Pllc|Kirk Gross Company|Kryton Engineered Metals Inc|Overhead Door Company Of Waterloo|Print Innovations Llc|R C Willett Company","Aliases":"42558|7157|7903","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MSDNT","PrimaryPayerId":"22HLT","DisplayName":"22 Health Community Care Plan","Names":"Community Care Plan","Aliases":"22HLT","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"FL","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://22healthplan.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LQVZD","PrimaryPayerId":"78353","DisplayName":"27001K","Names":"27001K|Home Lumber & Builders Inc|Nettleton Dental Group|United Way Of North Central Ia","Aliases":"78353","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XDPWP","PrimaryPayerId":"FRN02","DisplayName":"374 Franciscan CNPT","Names":"Franciscan Health Crown Point","Aliases":"1235|1535|FRN02","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IN","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.franciscanhealth.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AMHTQ","PrimaryPayerId":"5STAR","DisplayName":"5Star Life Insurance Company","Names":"Sydney Administrators","Aliases":"5STAR","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.5starlifeinsurance.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZFJBE","PrimaryPayerId":"20446","DisplayName":"6 Degrees Health","Names":"","Aliases":"20446|4014|8721","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.6degreeshealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JHEHK","PrimaryPayerId":"11370","DisplayName":"A-G Specialty Insurance","Names":"A-G Administrators LLC","Aliases":"11370|4023|8752","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://agspecialtyinsurance.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MJZQL","PrimaryPayerId":"11983","DisplayName":"AAA Minnesota Iowa","Names":"Auto Club Group|Auto Club Group Insurance Company|Auto Club Insurance (ACIA)|Auto Club Insurance Association|Auto Club Property Casualty Insurance Company|Meemic|Member Select Insurance Company|The Auto Club Group|Triple A","Aliases":"11983","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://mn-ia.aaa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PGWPZ","PrimaryPayerId":"1245225621","DisplayName":"Aaron Manor Hra - Ihp","Names":"Aaron Manor Hra - Ihp","Aliases":"1245225621","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"CT","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://aaron-manor.net","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BSPAK","PrimaryPayerId":"AARP1","DisplayName":"AARP Dental Insurance Plan","Names":"Delta Dental Insurance Company","Aliases":"AARP1","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"OVER_4_WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www1.deltadentalins.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DXOAW","PrimaryPayerId":"36273","DisplayName":"AARP UnitedHealthCare Insurance Company","Names":"AARP Hospital Indemnity Plans|AARP Medicare Supplement Plans|AARP Medicare Supplement by UnitedHealthcare|AARP Supplemental Health Plans From UnitedHealthcare|AARP UnitedHealthcare Insurance Company|UnitedHealthcare Ovations (AARP)|UnitedHealthcare Ovations Insurance Solutions (AARP)","Aliases":"10431|36273|5271|8940|AARP","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"36-2739571","CoverageTypes":"dental|medical|vision","OperatingStates":"NATIONAL","Programs":"COMMERCIAL|MEDICARE","PtanRequired":"false","ParentPayerGroupId":"FIVMG","ParentPayerGroupName":"UnitedHealth Group","WebsiteUrl":"https://www.uhcprovider.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IULKP","PrimaryPayerId":"SA001","DisplayName":"Abilis Health Plan","Names":"Signature Advantage","Aliases":"7282|9567|SA001","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"KY|TN","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://abilishealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ORSXG","PrimaryPayerId":"ABLPY","DisplayName":"AblePay Health","Names":"","Aliases":"1073|15551|7896|ABLPY","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://ablepayhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QOCEI","PrimaryPayerId":"J1477","DisplayName":"Acadia Insurance Company","Names":"Berkley Agribusiness Risk Specialists|Berkley National Insurance Company|Berkley Regional Insurance Company|Riverport Insurance Company|Tri-State Insurance Company","Aliases":"J1477","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.acadiainsurance.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LXPGV","PrimaryPayerId":"LXPGV","DisplayName":"Acadia Insurance Company – Workers Compensation","Names":"Acadia Insurance Company (WC)","Aliases":"LXPGV","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GUYJK","PrimaryPayerId":"999990748","DisplayName":"Accelerated Claims Inc","Names":"","Aliases":"90748|999990748|Z96399","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.accelclaims.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SUWNS","PrimaryPayerId":"ABH02","DisplayName":"Access Behavioral Health","Names":"","Aliases":"2848|7979|ABH02","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"FL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://abhfl.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UIUBR","PrimaryPayerId":"ACCOM","DisplayName":"Access Community Health Network","Names":"ACHN","Aliases":"7566|7765|ACCOM|ZP5631","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.achn.net","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BIFTB","PrimaryPayerId":"ACC01","DisplayName":"Access Independent Practice Association","Names":"Access IPA","Aliases":"7084|9489|ACC01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.giatroshealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WAUSF","PrimaryPayerId":"AMG02","DisplayName":"Access Medical Group","Names":"","Aliases":"3095|8719|AMG01|AMG02","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://bluezoneshealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EYPNZ","PrimaryPayerId":"ACHP1","DisplayName":"Access to Care Health Plan","Names":"ACHP by Sendero|Sendero Health Plans","Aliases":"ACHP1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TX","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://accesstocarehealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DABYT","PrimaryPayerId":"J1790","DisplayName":"Accident Fund Insurance Company of America","Names":"","Aliases":"J1790","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YVYPR","PrimaryPayerId":"64071","DisplayName":"Acclaim Healthcare Management","Names":"","Aliases":"64071","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://acclaimhealthcaremanagement.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OCMVM","PrimaryPayerId":"AHIPA","DisplayName":"Accountable Health Care IPA","Names":"Accountable IPA|Astrana Health","Aliases":"2596|7273|AHIPA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://accountablehealthcareipa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TYEJG","PrimaryPayerId":"MPM23","DisplayName":"Accountable Healthcare Independent Physician Association (AHIPA)","Names":"Accountable Healthcare Independent Practice Association (AHIPA)|MedPOINT Management","Aliases":"MPM23","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medpointmanagement.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VCVUM","PrimaryPayerId":"J1024","DisplayName":"Accuride Corporation","Names":"","Aliases":"J1024","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VNEQY","PrimaryPayerId":"Z96821","DisplayName":"ACE Medicare Supplement","Names":"Ace Property & Casualty Insurance Medicare Supplement|Chubb Insurance Company","Aliases":"Z96821","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.chubb.com/microsites/ina-medicare-supplement.html","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FVWTW","PrimaryPayerId":"22384","DisplayName":"ACI","Names":"Administrative Concepts Incorporated","Aliases":"00469|14533|22384|22384MA|3228|3952|ADMCON","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.acitpa.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PCAYH","PrimaryPayerId":"J1578","DisplayName":"ACIG Insurance Company","Names":"","Aliases":"J1578","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DHKVK","PrimaryPayerId":"45328","DisplayName":"ACMG Benefit Administrators","Names":"Accountable Care Management Group|Bon Secours Value Network","Aliases":"45328|8006|9719","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.acmg.md","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YJWUT","PrimaryPayerId":"72467","DisplayName":"ACS Benefit Services","Names":"ACS Benefit Services Inc|ACS Benefits Service|ACS Consulting Services Incorporated","Aliases":"101387|11009|1154|1843|3908|72467|72467MA|72468|ACSBE|PA331","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"NC","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://acsbenefitservices.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WQKDP","PrimaryPayerId":"37278","DisplayName":"Action Safety","Names":"Action Safety|Ag2|Bliss Industries|Frazer Bank (Fb1016) Ng|Label Solutions|Nelson Auto (Na717)|Oklahoma Farm Bureau (Medical Claims)|Oklahoma Wesleyan University|Price Edwards|Protel Systems And Supplies|Utility Tri-State|Veracity Research (Vrc117)","Aliases":"37278","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MIARB","PrimaryPayerId":"75678","DisplayName":"Active Care Inc. (Valenz)","Names":"Active Care Inc.|Active Care UCS|Active Care United Clinical Services|Vālenz Health","Aliases":"2450|66310|7090|75678","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.valenzhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ODXTB","PrimaryPayerId":"AHC01","DisplayName":"ActivHealthCare","Names":"Activ","Aliases":"AHC01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.activhealthcare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YFZKQ","PrimaryPayerId":"56693","DisplayName":"Actuarial Management Resources (AMR)","Names":"Actuarial Management Resources, Inc","Aliases":"30377|56693|9135","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.actmanre.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TOQKP","PrimaryPayerId":"J1240","DisplayName":"Acuity Mutual Insurance Company","Names":"","Aliases":"J1240","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KEUEL","PrimaryPayerId":"J1667","DisplayName":"AD-COMP","Names":"Ad Compensation","Aliases":"J1667","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZJLOY","PrimaryPayerId":"J1798","DisplayName":"Adelanto Correctional Facility California","Names":"","Aliases":"J1798","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PGYUB","PrimaryPayerId":"J1690","DisplayName":"Adelanto School District California","Names":"Bear Valley Unified School District California|Cucamonga School District (California)|East San Gabriel Valley ROP (California)|San Bernardino County Superintendent of Schools California|Southern California Risk Management","Aliases":"J1690","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.aesd.net","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QKDLZ","PrimaryPayerId":"ADLRS","DisplayName":"ADL Risk Services","Names":"","Aliases":"ADLRS","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://adlriskservicesllc.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EPJSQ","PrimaryPayerId":"J1241","DisplayName":"Administaff","Names":"AdminiStaff","Aliases":"J1241","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JPNHP","PrimaryPayerId":"ACAA","DisplayName":"Administración de Compensaciones por Accidentes de Automóviles","Names":"","Aliases":"6073|9234|ACAA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"PR","Programs":"AUTOMOBILE_MEDICAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.acaa.pr.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WBXGV","PrimaryPayerId":"J1005","DisplayName":"Administrative Claim Service Incorporated","Names":"","Aliases":"J1005","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TLPTW","PrimaryPayerId":"CX098","DisplayName":"Administrative District Council 1 Welfare fund","Names":"The International Union of Bricklayers & Allied Craftworkers","Aliases":"CX098","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"IL","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://bacadc1.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NZNAW","PrimaryPayerId":"CX076","DisplayName":"Administrative Services Only","Names":"Metrodent|Self-Insured Dental Services","Aliases":"ASO|CX076","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.asonet.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UVSCL","PrimaryPayerId":"87871","DisplayName":"AdminOne","Names":"","Aliases":"4105|87871|9091|ZP4899","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.adminone.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MBUME","PrimaryPayerId":"ADOCS","DisplayName":"ADOC Medical Group","Names":"Affiliated Doctors of Orange County|Regal Medical Group","Aliases":"1667|27344|5810|ADOCS","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.adoc.us","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AZLPI","PrimaryPayerId":"J1242","DisplayName":"ADP TotalSource Incorporated","Names":"ADP Total Source Incorporated","Aliases":"J1242","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"APWTB","PrimaryPayerId":"APWTB","DisplayName":"Adusa/Adhold (Formerly Retail Business Services) – Workers Compensation","Names":"Adusa/Adhold (Formerly Retail Business Services)","Aliases":"APWTB","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OYUYN","PrimaryPayerId":"J1843","DisplayName":"Advance America Cash Advance Centers","Names":"","Aliases":"J1843","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BPQVO","PrimaryPayerId":"J1608","DisplayName":"Advance Services Incorporated","Names":"","Aliases":"J1608","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VKPUH","PrimaryPayerId":"58202","DisplayName":"Advanced Data Solutions Incorporated","Names":"","Aliases":"58202","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZCUMH","PrimaryPayerId":"DOCSO","DisplayName":"Advanced Health","Names":"Western Oregon Advanced Health (CCO)","Aliases":"6804|7667|DOCSO|UOCSO|WOAHM","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"OR","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://advancedhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZHUCN","PrimaryPayerId":"AMDC1","DisplayName":"Advanced Medical Doctors Of California","Names":"","Aliases":"1739|1905|AMDC1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.amdcipa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GLAMT","PrimaryPayerId":"10563","DisplayName":"Advantage by Managed Health Services","Names":"Centene|Wellcare Health Plans","Aliases":"10563","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"WI","Programs":"","PtanRequired":"false","ParentPayerGroupId":"RZIUK","ParentPayerGroupName":"Centene Corporation Group","WebsiteUrl":"https://www.wellcare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BAKER","PrimaryPayerId":"ACIPA","DisplayName":"Advantage Care IPA","Names":"Advantage Care Independent Physician Association","Aliases":"6141|ACIPA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://advantagecareipa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IBPWE","PrimaryPayerId":"93524","DisplayName":"Advantage Dental","Names":"Advantage Dental Services|DentaQuest","Aliases":"93524","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.advantagedentalservices.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TYJRU","PrimaryPayerId":"83077","DisplayName":"Advantek Benefit Administrators","Names":"","Aliases":"1636|6122|83077|ADVTK","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.advantekbenefit.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KJDPL","PrimaryPayerId":"59314","DisplayName":"Advanzeon Solutions","Names":"","Aliases":"4027|59314|8756","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JCOAI","PrimaryPayerId":"AHMC1","DisplayName":"Advent Health Medical Corporation","Names":"","Aliases":"AHMC1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.adventhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JMFJP","PrimaryPayerId":"VB001","DisplayName":"AdventHealth","Names":"Florida Hospital","Aliases":"7822|9533|VB001","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.adventhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NQREQ","PrimaryPayerId":"RMR01","DisplayName":"AdventHealth Rocky Mountain","Names":"AdventHealth Rocky Mountain Foundation","Aliases":"3427|8962|RMR01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CO","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.adventhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QTEOR","PrimaryPayerId":"AHTP01","DisplayName":"AdventHealth Transplant Program","Names":"AdventHealth Transplant Institute","Aliases":"8026|9743|AHTP01|RP090","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CO|FL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.adventhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SWRZQ","PrimaryPayerId":"VBBM13","DisplayName":"AdventHealth Value Based Bundle Management, LLC","Names":"","Aliases":"VBBM13","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.adventhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ICODC","PrimaryPayerId":"95340","DisplayName":"Adventist Health Employee Health Plan","Names":"Adventist Health Employee Medical Plan|Adventist Health System West (Roseville California)","Aliases":"14440|2114|2932|95340","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://employeehealthplan.adventisthealth.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LYNHG","PrimaryPayerId":"MPM37","DisplayName":"Adventist Health Plan","Names":"MedPOINT Management","Aliases":"2094|8242|MPM37","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medpointmanagement.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZVRZX","PrimaryPayerId":"MPM38","DisplayName":"Adventist Health Plan Provider Network","Names":"Adventist Health Plan (AHP) Provider Network|MedPOINT Management","Aliases":"8079|8267|MPM36|MPM38","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.adventisthealth.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YEHYD","PrimaryPayerId":"MPM51","DisplayName":"Adventist HealthCare Network","Names":"MedPOINT Management","Aliases":"7055|9437|MPM51","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medpointmanagement.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QHSKA","PrimaryPayerId":"MPM33","DisplayName":"Adventist White Memorial (Crown City Medical Group)","Names":"MedPOINT Management","Aliases":"1061|7888|MPM33","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medpointmanagement.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YBJYV","PrimaryPayerId":"MPM34","DisplayName":"Adventist White Memorial (Southland San Gabriel Valley)","Names":"MedPOINT Management","Aliases":"1620|1811|MPM34","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medpointmanagement.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KYGAP","PrimaryPayerId":"CB159","DisplayName":"Advisory Health Administrators","Names":"","Aliases":"00236|00274|3055|8426|CB159","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://advisoryha.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QPKBL","PrimaryPayerId":"J1896","DisplayName":"Advocare MCO Incorporated","Names":"Advocare Managed Care Organization Incorporated|Sheakley UniComp","Aliases":"J1896","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"OH","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://mco.sheakley.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WODWC","PrimaryPayerId":"36320","DisplayName":"Advocate Medical Group","Names":"Dreyer Health","Aliases":"2517|36320|3704","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.advocatehealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SLNSC","PrimaryPayerId":"65093","DisplayName":"Advocate Physician Partners","Names":"Advocate Physician Partners","Aliases":"2510|2801|65093","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.advocatehealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OVWGR","PrimaryPayerId":"BC637","DisplayName":"Aegis Administrative Services","Names":"","Aliases":"BC637","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"AL|FL|GA|MS|NC|SC|TN|VA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.aegisadm.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XOWDK","PrimaryPayerId":"CB637","DisplayName":"Aegis Administrative Services","Names":"","Aliases":"1226|4526|CB637","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HPQRS","PrimaryPayerId":"60054","DisplayName":"Aetna","Names":"Aetna Affordable Health Choices (SM) SRC|Aetna Insurance Company|Aetna Medicare Advantage|Aetna Medicare Replacement|Bell Atlantic|Choice Plus (TRW)|CustomCare (Prudential)|EmoryCare (Prudential)|FlexCare|Florida Power and Light (Prudential)|Foreign Service Benefit Plan|Healthcare Alliance (Sears)|IBM Medical Plans|Innovation Aetna|Los Alamos Total Care (Prudential)|Mail Handlers Benefit Plan - MHBP|Marriott|MedConnection (Marriott)|Minneapolis Prudential|NEA Group Insurance (Prudential)|Pacific Gas and Electric (PG&E)|Prudential|Rush Prudential|Sandia Triple Optional Plus|Southwestern Bell (Medical)|SunTrust Bank|UC Care (University of California)|US HealthCare (Health Maintenance Organization)|Varian HealthCare Plan","Aliases":"10004|10397|4500|60054|60054MA|60055|6400|953402799|AETNA|Z95668","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"06-6033492|95-3402799","CoverageTypes":"dental|medical|vision","OperatingStates":"NATIONAL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"IWQUE","ParentPayerGroupName":"Aetna (CVS Group)","WebsiteUrl":"https://www.aetna.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HCUQB","PrimaryPayerId":"ABH01","DisplayName":"Aetna Better Health","Names":"","Aliases":"12|3061|ABH01","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"IWQUE","ParentPayerGroupName":"Aetna (CVS Group)","WebsiteUrl":"https://www.aetnabetterhealth.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JGESY","PrimaryPayerId":"11231","DisplayName":"Aetna Better Health - Nevada","Names":"","Aliases":"11231|ABHNV","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"NV","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"IWQUE","ParentPayerGroupName":"Aetna (CVS Group)","WebsiteUrl":"https://www.aetnabetterhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"POYUE","PrimaryPayerId":"128FL","DisplayName":"Aetna Better Health Florida","Names":"Aetna Better Health of Florida|Better Health Plans of Florida|Coventry Health Care of Florida","Aliases":"10999|11099|128FL|20488|7265|8678|ABHFL","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"FL","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"IWQUE","ParentPayerGroupName":"Aetna (CVS Group)","WebsiteUrl":"https://www.aetnabetterhealth.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IHSBZ","PrimaryPayerId":"128KS","DisplayName":"Aetna Better Health Kansas","Names":"Aetna Better Health of Kansas","Aliases":"1084|12267|128KS|8111|ABHKS","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"KS","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.aetna.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PYIUD","PrimaryPayerId":"128KY","DisplayName":"Aetna Better Health Kentucky","Names":"Aetna Better Health of Kentucky","Aliases":"11119|128KY|7410|9626|ABHK1|ABHKY|COVCKY","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"KY","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.aetna.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IHVFZ","PrimaryPayerId":"128LA","DisplayName":"Aetna Better Health Louisiana","Names":"Aetna Better Health of Louisiana","Aliases":"11008|128LA|128LAMA|7183|8621|ABHLA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"LA","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.aetna.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TGIEI","PrimaryPayerId":"128MD","DisplayName":"Aetna Better Health Maryland","Names":"Aetna Better Health of Maryland","Aliases":"11207|128MD|7554|7758|ABHMD","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"MD","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"IWQUE","ParentPayerGroupName":"Aetna (CVS Group)","WebsiteUrl":"https://www.aetna.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RCMHQ","PrimaryPayerId":"128MI","DisplayName":"Aetna Better Health Michigan","Names":"Aetna Better Health of Michigan","Aliases":"10223|11026|128MI|128MIMA|7220|8637|ABHMI","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"MI","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.aetna.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OVRAP","PrimaryPayerId":"46320","DisplayName":"Aetna Better Health New Jersey","Names":"Aetna Better Health of New Jersey","Aliases":"10994|46320|7190|8629|ABHNJ","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NJ","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"IWQUE","ParentPayerGroupName":"Aetna (CVS Group)","WebsiteUrl":"https://www.aetna.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VALCQ","PrimaryPayerId":"34734","DisplayName":"Aetna Better Health New York","Names":"Aetna Better Health of New York","Aliases":"10816|34734|6832|7612|ABHNY","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NY","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"IWQUE","ParentPayerGroupName":"Aetna (CVS Group)","WebsiteUrl":"https://www.aetnabetterhealth.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AVLDT","PrimaryPayerId":"68024","DisplayName":"Aetna Better Health of Illinois","Names":"IlliniCare Health Plan","Aliases":"10757|10892|5013|68024|68024MA|8861|ASRYM|ILMSA|ILSMA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"IL","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"IWQUE","ParentPayerGroupName":"Aetna (CVS Group)","WebsiteUrl":"https://www.aetnabetterhealth.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FAQEX","PrimaryPayerId":"128WV","DisplayName":"Aetna Better Health of West Virginia","Names":"Aetna Better Health West Virginia |Aetna Better Health of West Virginia|Coventry Health Care CareLink Medicaid","Aliases":"11154|1147|128WV|1577|ABHWV|CHCFED|COVTY00182","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"WV","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"IWQUE","ParentPayerGroupName":"Aetna (CVS Group)","WebsiteUrl":"https://www.aetnabetterhealth.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OGLRE","PrimaryPayerId":"50023","DisplayName":"Aetna Better Health Ohio","Names":"Aetna Better Health of Ohio","Aliases":"10887|50023|50023MA|6876|7652|ABHOH","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"OH","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"IWQUE","ParentPayerGroupName":"Aetna (CVS Group)","WebsiteUrl":"https://www.aetnabetterhealth.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NEUOX","PrimaryPayerId":"128OK","DisplayName":"Aetna Better Health Oklahoma","Names":"","Aliases":"128OK|16578|1828|3615","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"OK","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.aetna.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IHELM","PrimaryPayerId":"23228","DisplayName":"Aetna Better Health Pennsylvania","Names":"Aetna Better Health - PA","Aliases":"10894|23228|3617|5823|ABHPA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"PA","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"IWQUE","ParentPayerGroupName":"Aetna (CVS Group)","WebsiteUrl":"https://www.aetnabetterhealth.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FBMFK","PrimaryPayerId":"38692","DisplayName":"Aetna Better Health Texas","Names":"Aetna Better Health of Texas|Aetna Texas Medicaid and Children's Health Insurance Program","Aliases":"00405|10895T|10896|2142|2933|38692|ABHTX","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"TX","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"IWQUE","ParentPayerGroupName":"Aetna (CVS Group)","WebsiteUrl":"https://www.aetnabetterhealth.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GMSIX","PrimaryPayerId":"128VA","DisplayName":"Aetna Better Health Virginia","Names":"Aetna Better Health of Virginia","Aliases":"10217|128VA|128VAMA|7737|9686|ABHVA|CHCCN","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"VA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"IWQUE","ParentPayerGroupName":"Aetna (CVS Group)","WebsiteUrl":"https://www.aetna.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZMNKM","PrimaryPayerId":"18014","DisplayName":"Aetna Dental Medicare","Names":"","Aliases":"18014","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"NATIONAL","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"IWQUE","ParentPayerGroupName":"Aetna (CVS Group)","WebsiteUrl":"https://www.aetnadental.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HJTBL","PrimaryPayerId":"68246","DisplayName":"Aetna DMO","Names":"Aetna Dental DMO|Aetna Dental Maintenance Organization","Aliases":"68246","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"IWQUE","ParentPayerGroupName":"Aetna (CVS Group)","WebsiteUrl":"https://www.aetnadental.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LTVUZ","PrimaryPayerId":"EAP20","DisplayName":"Aetna EAP","Names":"","Aliases":"1871|EAP20","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"IWQUE","ParentPayerGroupName":"Aetna (CVS Group)","WebsiteUrl":"https://www.aetna.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HIBRO","PrimaryPayerId":"26337","DisplayName":"Aetna Medicaid Illinois","Names":"","Aliases":"26337|4623|6140","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IL","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"IWQUE","ParentPayerGroupName":"Aetna (CVS Group)","WebsiteUrl":"https://www.aetna.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SIQAQ","PrimaryPayerId":"45221","DisplayName":"Aetna OhioRISE Medicaid Managed Care Entity","Names":"Aetna OhioRISE Medicaid Managed Care Entity","Aliases":"14387|45221|7052|9435|OHRISE","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"OH","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.aetnabetterhealth.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QGHTD","PrimaryPayerId":"10891","DisplayName":"Aetna Retiree Medical Plan - Administrator","Names":"","Aliases":"10891","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"IWQUE","ParentPayerGroupName":"Aetna (CVS Group)","WebsiteUrl":"https://www.aetna.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LUJFN","PrimaryPayerId":"10897","DisplayName":"Aetna Senior Supplemental","Names":"","Aliases":"101211|10897|AEADM","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"IWQUE","ParentPayerGroupName":"Aetna (CVS Group)","WebsiteUrl":"https://www.aetnaseniorproducts.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TJRVZ","PrimaryPayerId":"62118","DisplayName":"Aetna Senior Supplemental Insurance","Names":"Accendo Insurance Company|Aetna Administrator Medicare Supplement|Aetna Genworth Life Insurance Company|Aetna Health Insurance Company |Aetna Health and Life Insurance Company|Aetna Life Insurance Company|Aetna SSI|Aetna Senior Products|Allianz Life Insurance Company of New York|American Continental Insurance Company|American General Life and Accident Insurance Company|Combined Insurance Company of America|Continental Life Insurance Company of Brentwood, Tennessee|Coventry Health and Life Insurance Company|First Health Life and Health Insurance Company|Genworth Life Insurance Company|Genworth Life and Annuity Insurance Company |SilverScript Insurance Company|Union Fidelity Life Insurance Company|Virginia Surety Company, Inc.|Washington National Insurance Company","Aliases":"00225|00233|62118|6870|7649|AESSI|ATNSSI|QIJCB","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NATIONAL","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"IWQUE","ParentPayerGroupName":"Aetna (CVS Group)","WebsiteUrl":"https://www.aetnaseniorproducts.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KTQPK","PrimaryPayerId":"J1JVHL","DisplayName":"Aetna US Healthcare (J1) - JVHL","Names":"Aetna US Healthcare (J1) - Joint Venture Hospital Laboratory","Aliases":"2760|J1JVH|J1JVHL","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"ONE_CLICK","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WTZYM","PrimaryPayerId":"57604","DisplayName":"Aetna Voluntary Plans","Names":"Aetna Affordable Health Choices (SM) - SRC|Aetna Strategic Resource Company","Aliases":"4011|57604|8737","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"IWQUE","ParentPayerGroupName":"Aetna (CVS Group)","WebsiteUrl":"https://www.aetna.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OIQBF","PrimaryPayerId":"POP09","DisplayName":"Affiliated Partners IPA","Names":"Affiliated Partners Independent Practice Association|PremierOne Plus MSO","Aliases":"9737|POP09","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://popmso.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BVWRD","PrimaryPayerId":"POP06","DisplayName":"Affiliated Physicians IPA","Names":"Affiliated Physicians Independent Practice Association|PremierOne Plus MSO","Aliases":"3262|M3CA1|POP06","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://popmso.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LFKGC","PrimaryPayerId":"46594","DisplayName":"Affinity Medical Group","Names":"Pacific Partners Management Services","Aliases":"46594|46594MA|5217|9683","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ppmsi.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AFCLF","PrimaryPayerId":"AFLAC","DisplayName":"AFLAC","Names":"AFLAC Dental|Aflac|Argus Dental & Vision|Argus Holdings ","Aliases":"10398|3056|58066|7178|8428|8618|ABS01|AFGRP|AFLAC|ARGUS|DYBVK|HFIMT","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NATIONAL","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.aflac.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YLAZX","PrimaryPayerId":"AFMES","DisplayName":"Aflac Medicare Supplemental","Names":"American Family Life Assurance Company","Aliases":"10663|AFMES","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"VZQVU","ParentPayerGroupName":"Aflac Group","WebsiteUrl":"https://www.aflacmedicaresupplement.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LQGVP","PrimaryPayerId":"58200","DisplayName":"Ag Equipment Company","Names":"Ag Equipment Company|Brown Industries|Coastal Energy Corp (Cec Claims)|Coastal Energy Corp (Fmc Claims)|Cw Matthews Contracting|Edison Health Solutions (fka ResourceOne Administrators Inc)|Hirsch Feed & Farm #Hf1009 (Ng)|Holy Innocent’S Episcopal|Liberty National Bank #Lnb117 (Ng)|Material Handling, Inc.|People'S Electric|Process Manufacturing|ResourceOne Administrators Inc|Southwest Orthopaedic|Textile Rubber & Chemical","Aliases":"58200","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.edisonehs.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ATOAG","PrimaryPayerId":"ARA01","DisplayName":"AgeRight Advantage","Names":"","Aliases":"00369|1214|16575|3937|ARA01","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"OR|WA","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://agerightadvantage.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KCTNP","PrimaryPayerId":"MPM72","DisplayName":"AHCN - SCAN Hanford","Names":"MedPOINT Management","Aliases":"MPM72","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medpointmanagement.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CSMLJ","PrimaryPayerId":"MPM73","DisplayName":"AHCN - SCAN White","Names":"Adventist Health Care Network|Adventist Health White Memorial|MedPOINT Management|SCAN Health Plan","Aliases":"MPM73","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medpointmanagement.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FZKUF","PrimaryPayerId":"91026","DisplayName":"AHS Plans","Names":"Access Health Services","Aliases":"16662|3409|8950|91026","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://ahsplans.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZCUTI","PrimaryPayerId":"95433","DisplayName":"AIDS Healthcare Foundation","Names":"Ryan White Specialty Pools|San Diego County Ryan White Specialty Services Program","Aliases":"7059|9443|95433|Z95605MA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.sandiegocounty.gov","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZTZKF","PrimaryPayerId":"19402","DisplayName":"AIG Chartis","Names":"American International Group Chartis","Aliases":"13545|19402|WSVDC","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.aig.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XSYST","PrimaryPayerId":"J1516","DisplayName":"Air Liquide USA LLC","Names":"City of Atlanta|Cr and R|Roth Staffing Companies (Carl Warren)","Aliases":"J1516","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EBCJI","PrimaryPayerId":"64884","DisplayName":"Aither Health","Names":"","Aliases":"6019|64884|9136","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.aitherhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LBFWN","PrimaryPayerId":"95327","DisplayName":"Alameda Alliance for Health","Names":"","Aliases":"1508910779|1631|2173|94-3216947|95327","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"CA","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://alamedaalliance.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YZVZB","PrimaryPayerId":"AIPAZ","DisplayName":"Alamitos IPA","Names":"","Aliases":"7133|8699|AIPAZ","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ESGNZ","PrimaryPayerId":"10798","DisplayName":"Alan Sturm and Associates","Names":"","Aliases":"10798","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IHYRN","PrimaryPayerId":"J1577","DisplayName":"Alaska National Insurance","Names":"","Aliases":"J1577","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IBXKW","PrimaryPayerId":"85600","DisplayName":"Albuquerque Public Schools","Names":"","Aliases":"1220|16579|4518|85600|ALPBS","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NM","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.aps.edu","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RDAOE","PrimaryPayerId":"J1244","DisplayName":"Alcoa Fasteners Systems","Names":"","Aliases":"J1244","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZBFUI","PrimaryPayerId":"J1716","DisplayName":"Align Network (One Call Physical Therapy)","Names":"Align Networks (One Call Physical Therapy)","Aliases":"J1716","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://onecallcm.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DWHKI","PrimaryPayerId":"ASCA1","DisplayName":"Align Senior Care of California","Names":"Align Senior Care|Curana Health","Aliases":"16560|7024|9409|ASCA1","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://alignseniorcare.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZOMLG","PrimaryPayerId":"ASFL1","DisplayName":"Align Senior Care of Florida","Names":"Align Senior Care (Florida)|Curana Health","Aliases":"16561|6089|9267|ASFL1","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"FL","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://alignseniorcare.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RSTHS","PrimaryPayerId":"ASMI1","DisplayName":"Align Senior Care of Michigan","Names":"Align Senior Care MI|Curana Health","Aliases":"16562|8454|ASMI1","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"MI","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://alignseniorcare.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MUYLZ","PrimaryPayerId":"ASVA1","DisplayName":"Align Senior Care of Virginia","Names":"","Aliases":"3063|8465|ASVA1","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"VA","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://alignseniorcare.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UKWRS","PrimaryPayerId":"ACP17","DisplayName":"Aligned Community Physicians","Names":"","Aliases":"8016|9736|ACP17","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://alignedcommunityphysicians.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JUKAE","PrimaryPayerId":"CCHPC","DisplayName":"Alignment Health Plan","Names":"Alignment Health Plan (Fee for Service)|Alignment HealthCare|Citizens Choice Health Plan (Fee for Service)|Dameron Hospital Association","Aliases":"14521|7235|8653|ALIHP|CCHPC|CCHPCMA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"CA|NV|NC|TX","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.alignmenthealthplan.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UQFWA","PrimaryPayerId":"ALIVI","DisplayName":"Alivi Health","Names":"","Aliases":"8744|ALIVI","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://alivi.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SKAHL","PrimaryPayerId":"ATNET","DisplayName":"Alivi Therapy Network","Names":"","Aliases":"8743|ATNET","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://alivi.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GIVSL","PrimaryPayerId":"AAMG1","DisplayName":"All American Medical Group","Names":"Asian American Medical Group","Aliases":"1124|1572|AAMG1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://aamgdoctors.net","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RKEHB","PrimaryPayerId":"ALLCA","DisplayName":"All Care Medical Group","Names":"","Aliases":"00096|2876|8080|ALLCA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AFLEJ","PrimaryPayerId":"81400","DisplayName":"All Savers","Names":"All Savers Alternate Funding|All Savers Insurance|All Savers Life Insurance Company|American Medical Security|PacifiCare Health|UnitedHealthOne|UnitedHealthOne PacifiCare Life and Health|UnitedHealthOne UnitedHealthcare Life Insurance Company|UnitedHealthcare All Savers Insurance|UnitedHealthcare Life Insurance Company","Aliases":"10829|11027|1941|7481|81400|ALLSA|AMMEDS","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"FIVMG","ParentPayerGroupName":"UnitedHealth Group","WebsiteUrl":"https://www.uhcprovider.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GMPQX","PrimaryPayerId":"DENT3","DisplayName":"All Smiles Community Oral Health","Names":"Dental3","Aliases":"DENT3","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"OR","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.allsmilescoh.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AOSWV","PrimaryPayerId":"AUMG1","DisplayName":"All United Medical Group","Names":"","Aliases":"7040|9423|AUMG1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.allunitedipa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CQNUL","PrimaryPayerId":"MRCHP","DisplayName":"AllCare Advantage","Names":"AllCare Health","Aliases":"4101|7986|MRCHP","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"OR","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.allcarehealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CRGEA","PrimaryPayerId":"MRIPA","DisplayName":"AllCare Health CCO","Names":"AllCare Health Coordinated Care Organization|AllCare Health of Southern Oregon","Aliases":"2113|8900|CXALC|MRIPA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"OR","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.allcarehealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JWQVG","PrimaryPayerId":"1144542549","DisplayName":"Allcare Home Health Svcs - Jns","Names":"Allcare Home Health Svcs - Jns","Aliases":"1144542549","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AFUCO","PrimaryPayerId":"AC101","DisplayName":"AllCare IPA","Names":"AllCare Independent Practice Association","Aliases":"24333|7247|AC101","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.allcareipa.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ELODK","PrimaryPayerId":"52193","DisplayName":"Allegeant","Names":"","Aliases":"3691|5121|52193","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.allegeant.net","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HVLOT","PrimaryPayerId":"J1245","DisplayName":"Allegheny Technologies","Names":"","Aliases":"J1245","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IEBAC","PrimaryPayerId":"81040","DisplayName":"Allegiance Benefit Plan Management Incorporated","Names":" Allegiance Benefit Plan Management, Inc.|Allegiance|Cigna Healthcare|Teachers Health Trust","Aliases":"10654|1651|2295|81040|ALLBE|TLU11","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"CA|CO|ID|IL|IA|KS|MN|MT|NE|ND|SD|UT|WA|WI|WY","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.askallegiance.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BCJXN","PrimaryPayerId":"J1740","DisplayName":"Allen Canning","Names":"","Aliases":"J1740","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CXRKI","PrimaryPayerId":"ADSL1","DisplayName":"Alliance Alpha Care Gold","Names":"Alliance AlphaCare Gold|Alpha Data Systems|Team Choice AlphaCare Gold","Aliases":"7795|7952|ADSL1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"http://www.alphadatasys.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QBKUC","PrimaryPayerId":"93658","DisplayName":"Alliance Coal Health Plan","Names":"Alliance Coal, LLC","Aliases":"00188|1042|7870|93658","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"73-0956034","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.coalbenefits.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FKTZB","PrimaryPayerId":"22417","DisplayName":"Alliance Desert Physicians","Names":"Alliance Physicians of the High Desert","Aliases":"1986|22417|7861","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://alliancedesertphysicians.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PIWXL","PrimaryPayerId":"23071","DisplayName":"Alliance Health","Names":"Alliance Behavioral Healthcare","Aliases":"23071|5676|6463","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"NC","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.alliancehealthplan.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KMCNG","PrimaryPayerId":"51037","DisplayName":"Alliant","Names":"BCI|Benefit Concepts|Brokerage Concepts|Health Now Administrative Service","Aliases":"15544|1830|51037|8562|BRKRG","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://alliant.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NLOAB","PrimaryPayerId":"58234","DisplayName":"Alliant Health Plans","Names":"Alliant Health Plans of Georgia|Alliant Health Plans, Inc.","Aliases":"11109|2589|3793|58234|58234MA|ALLIHP","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"GA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://alliantplans.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HDACO","PrimaryPayerId":"J1452","DisplayName":"Allianz","Names":"","Aliases":"J1452","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NLSUH","PrimaryPayerId":"50749","DisplayName":"Allianz Global Assistance","Names":"Allianz Partners|Allianz Travel Insurance","Aliases":"1669|50749|5180","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.allianztravelinsurance.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DCVHG","PrimaryPayerId":"DCVHG","DisplayName":"Allianz of America, Inc. – Workers Compensation","Names":"Allianz of America, Inc.","Aliases":"DCVHG","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BKYTB","PrimaryPayerId":"37308","DisplayName":"Allied Benefit Systems","Names":"Allied - Christian Brothers Services|Allied Benefit Systems, LLC","Aliases":"10898|1759|37308|8573|ABSYS|ALBENS","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.alliedbenefit.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AIMSD","PrimaryPayerId":"J1733","DisplayName":"Allied Claims Administration Incorporated","Names":"","Aliases":"J1733","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YHSCV","PrimaryPayerId":"1431625757","DisplayName":"Allied National, Inc","Names":"90 Degree Benefits","Aliases":"1431625757|ZP1311","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.alliednational.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YEVAB","PrimaryPayerId":"54398","DisplayName":"Allina Health Aetna","Names":"Aetna Insurance Company|Allina Health|Allina Health | Aetna","Aliases":"54398|7599|7780","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"IWQUE","ParentPayerGroupName":"Aetna (CVS Group)","WebsiteUrl":"https://www.allinahealthaetna.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"STQRY","PrimaryPayerId":"J1589","DisplayName":"Allmerica Financial Benefits Insurance Company","Names":"","Aliases":"J1589","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FAKRH","PrimaryPayerId":"C1037","DisplayName":"Allstate (All States Except New Jersey)","Names":"","Aliases":"3089|8714|C1037|ZP6111","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.allstate.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WVQKL","PrimaryPayerId":"WVQKL","DisplayName":"Allstate (All States Except New Jersey) – Workers Compensation","Names":"Allstate (All States Except New Jersey) (WC)","Aliases":"WVQKL","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XUAPZ","PrimaryPayerId":"75068","DisplayName":"Allstate Benefits","Names":"Allied Benefit Systems|Assurant Health","Aliases":"58730|7117|75068|7675","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.alliedbenefit.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ELHCU","PrimaryPayerId":"ASHC1","DisplayName":"Allstate Health Solutions","Names":"National General","Aliases":"1245|4574|ASHC1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://allstatehealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CGBMA","PrimaryPayerId":"99030","DisplayName":"AlohaCare","Names":"","Aliases":"11017|2909|5231|95853|99030|AAPMC|ALOHA|Z1375","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"HI","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.alohacare.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AGDGS","PrimaryPayerId":"NMM04","DisplayName":"Alpha Care Medical Group (Astrana Health)","Names":"AlphaCare Medical Group","Aliases":"3000|8247|ACMG1|NMM04","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://alphacaremed.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CEGSV","PrimaryPayerId":"ALPHA","DisplayName":"AlphaCare","Names":"","Aliases":"1210|ALPHA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VMSBJ","PrimaryPayerId":"A0701","DisplayName":"Alta Bates Medical Group","Names":"Sutter Health","Aliases":"4028|5846|A0701","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.sutterhealth.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JXVNI","PrimaryPayerId":"BTSS1","DisplayName":"Altais","Names":"Brown & Toland Sutter|Brown and Toland Sutter Select","Aliases":"5816|BTSS1","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://altais.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZKSFJ","PrimaryPayerId":"ACN90","DisplayName":"Altais Care Network","Names":"","Aliases":"2778|7944|ACN90","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://altais.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YFLKB","PrimaryPayerId":"ALTAM","DisplayName":"AltaMed","Names":"AltaMed Health Services","Aliases":"00201|8152|ALTAM","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"CA","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.altamed.org","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FESBF","PrimaryPayerId":"IHS06","DisplayName":"Alternative Insurance Resources","Names":"Global Repricing Solutions","Aliases":"5061|9106|IHS06","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://yourtpa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YGBKQ","PrimaryPayerId":"11002","DisplayName":"Alternative Insurance Resources","Names":"AIR|Alternative Insurance Resources Incorporated","Aliases":"11002|ATIRS","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"AL","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://yourtpa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KPRHN","PrimaryPayerId":"16089","DisplayName":"Alternative Opportunities","Names":"","Aliases":"16089","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FSPAQ","PrimaryPayerId":"63240","DisplayName":"Alternative Risk Management (ARM)","Names":"","Aliases":"1128|3593|63240","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IL|OR","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.altrisk.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DJFRI","PrimaryPayerId":"RP016","DisplayName":"Alterwood Advantage","Names":"","Aliases":"6008|9167|RP016","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"MD","Programs":"MEDICARE_ADVANTAGE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.alterwoodadvantage.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MSLDH","PrimaryPayerId":"12175","DisplayName":"Altrua Healthshare","Names":"Altrua Ministries|First Health","Aliases":"12175|1276|1590","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://altruahealthshare.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MLFDC","PrimaryPayerId":"95712","DisplayName":"Altura Management Services","Names":"Altura MSO","Aliases":"2017|95712","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://alturamso.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BGYZM","PrimaryPayerId":"50503","DisplayName":"Altus Dental","Names":"","Aliases":"10786|50503","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"MA|RI","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.altusdental.com/Provider","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BFYRN","PrimaryPayerId":"J1025","DisplayName":"Alvey Systems (AON Risk)","Names":"Alvey Systems (Aon Risk)","Aliases":"J1025","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SBDGP","PrimaryPayerId":"J1248","DisplayName":"Alvey Systems (AON Risk) (Auto Only)","Names":"Alvey Systems (Aon Risk) (Auto Only)","Aliases":"J1248","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QPERL","PrimaryPayerId":"AMDA1","DisplayName":"Amada Health (Fresno and Madera County)","Names":"","Aliases":"AMDA1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://amadahealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BPSVT","PrimaryPayerId":"AMDA2","DisplayName":"Amada Health (Los Angeles and Orange County)","Names":"Amada Health South","Aliases":"1650|2115|3297|8552|AMADA|AMDA2","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://amadahealth.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PJGVK","PrimaryPayerId":"AMDA3","DisplayName":"Amada Health Alameda","Names":"","Aliases":"1954|2228|AMDA3","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://amadahealth.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TREYM","PrimaryPayerId":"13550","DisplayName":"Amalgamated Employee Benefits Administrators","Names":"AliCare|Amalgamated Life|Chesapeake and Ohio Employees Hospital Association","Aliases":"13550|4591|5403","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://amalgamatedbenefits.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JSXAD","PrimaryPayerId":"75137","DisplayName":"AmeriBen","Names":"AmeriBen Solutions Incorporated","Aliases":"10985|2999|3755|75137|AMERBN|F75137|OFPNT","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"AZ","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://ameriben.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UISXZ","PrimaryPayerId":"97661","DisplayName":"AmeriBen","Names":"IEC Group","Aliases":"4001|8724|97661|TLU23","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://ameriben.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KMUGB","PrimaryPayerId":"J1427","DisplayName":"America First","Names":"","Aliases":"J1427","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YINOB","PrimaryPayerId":"20553","DisplayName":"America's 1st Choice Health Plans of South Carolina","Names":"","Aliases":"20553","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OTXBC","PrimaryPayerId":"20029","DisplayName":"America's Choice Healthplans","Names":"Americas Choice Healthplans|NMA","Aliases":"20029|4468|8932","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.achonline.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CPQZO","PrimaryPayerId":"27517","DisplayName":"Americaid Community Care (Maryland)","Names":"AmeriChoice Community Care (Maryland)","Aliases":"27517","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KZQYQ","PrimaryPayerId":"CX084","DisplayName":"American Benefit Corporation","Names":"ABC Holding Company|American Benefits Corporation","Aliases":"6092|9270|CX084","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.abcwv.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JAVJL","PrimaryPayerId":"ACN01","DisplayName":"American Chiropractic Network","Names":"Chiropractic Care of Minnesota Incorporated","Aliases":"ACN01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UFQNE","PrimaryPayerId":"J1236","DisplayName":"American Claims Management (ACM)","Names":"","Aliases":"J1236","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NEQCQ","PrimaryPayerId":"J1026","DisplayName":"American Coin Merchandising Incorporated","Names":"","Aliases":"J1026","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DYEAD","PrimaryPayerId":"29084","DisplayName":"American Collective LP PAS","Names":"","Aliases":"29084|3882|9088","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://americancollectivelp.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CJMUY","PrimaryPayerId":"26326","DisplayName":"American Correctional Healthcare","Names":"","Aliases":"26326|3750|9042","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.americancorrectional.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NBJLW","PrimaryPayerId":"J1027","DisplayName":"American Cyanamid","Names":"","Aliases":"J1027","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WPGNG","PrimaryPayerId":"ARIC","DisplayName":"American Family Insurance Company","Names":"","Aliases":"3680|56071|5883|ARIC","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"YBSKE","ParentPayerGroupName":"Wellabe Mutual Holding Company Group","WebsiteUrl":"https://www.wellabe.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VQITV","PrimaryPayerId":"AMFAM","DisplayName":"American Family Insurance Group","Names":"","Aliases":"12T31|2138|4907|AMF11|AMFAM|TH095","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.amfam.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CMVGS","PrimaryPayerId":"60801","DisplayName":"American Fidelity","Names":"American Fidelity Assurance Company|American Public Life (APL)|American Public Life Insurance Company","Aliases":"2039|60801|8177","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://americanfidelity.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JDWXY","PrimaryPayerId":"62030","DisplayName":"American General","Names":"","Aliases":"10009|3862|3949|62030|AMCAG|Z1089","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"FKGCI","ParentPayerGroupName":"American International Group","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UKOUF","PrimaryPayerId":"31150","DisplayName":"American Health Advantage of Florida","Names":"American Health Plans","Aliases":"00351|14395|31150|7099|9712","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"FL","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://fl.amhealthplans.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PLSFM","PrimaryPayerId":"31145","DisplayName":"American Health Advantage of Idaho / Utah","Names":"American Health Advantage Idaho|American Health Advantage Utah|American Health Plans","Aliases":"14398|14530|31145|7047|9429","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"ID","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://amhealthplans.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EAVRM","PrimaryPayerId":"RP115","DisplayName":"American Health Advantage of Indiana","Names":"American Health Plan of Indiana|American Health Plans","Aliases":"14473|2841|7966|RP115","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"IN","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://in.amhealthplans.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JYCVU","PrimaryPayerId":"83247","DisplayName":"American Health Advantage of Louisiana","Names":"American Health Plans","Aliases":"14466|8013|83247|8755|9731","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"LA","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://la.amhealthplans.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZCLOR","PrimaryPayerId":"31135","DisplayName":"American Health Advantage of Mississippi","Names":"American Health Plans","Aliases":"14393|31135|5093|9142","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"MS","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://ms.amhealthplans.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PXMAZ","PrimaryPayerId":"MMS01","DisplayName":"American Health Advantage of Missouri","Names":"American Health Plans|Medicare American Health Advantage of Missouri (formerly Missouri Select)","Aliases":"14394|7280|8987|MMS01","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"MO","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://mo.amhealthplans.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZOUCK","PrimaryPayerId":"31125","DisplayName":"American Health Advantage of Oklahoma","Names":"American Health Plans|Tribute Health Plan Oklahoma","Aliases":"1027|14397|31125|7854","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"OK","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://ok.amhealthplans.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ETWTL","PrimaryPayerId":"14529","DisplayName":"American Health Advantage of Pennsylvania","Names":"","Aliases":"14529","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"PA","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://pa.amhealthplans.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JOZWQ","PrimaryPayerId":"31130","DisplayName":"American Health Advantage of Tennessee","Names":"American Health Plans","Aliases":"14389|31130|6064|9218","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TN","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://tn.amhealthplans.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MPTWS","PrimaryPayerId":"31155","DisplayName":"American Health Advantage of Texas","Names":"American Health Plans","Aliases":"14392|31155|5071|9117","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TX","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://tx.amhealthplans.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TBDYB","PrimaryPayerId":"PA901","DisplayName":"American Health Plans of Pennsylvannia","Names":"American Health Plans","Aliases":"1887|5973|PA901","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"PA","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://pa.amhealthplans.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BKVQW","PrimaryPayerId":"AHR01","DisplayName":"American Health Resources","Names":"","Aliases":"1893|7545|AHR01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ahr.net","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LAFJI","PrimaryPayerId":"01066","DisplayName":"American Healthcare Alliance","Names":"","Aliases":"01066|1959|3895","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.americanhealthcareallianceonline.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SAXHB","PrimaryPayerId":"J1250","DisplayName":"American Home Craft","Names":"","Aliases":"J1250","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZLTUI","PrimaryPayerId":"60577","DisplayName":"American Income Life Insurance Company","Names":"Globe Life","Aliases":"10986|60577|ANCOM","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"HNSBU","ParentPayerGroupName":"Globe Life Incorporated Group","WebsiteUrl":"https://www.ailife.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OTEGK","PrimaryPayerId":"81949","DisplayName":"American Insurance Company of Texas","Names":"Unified Life Insurance Company","Aliases":"4162|7969|81949","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://unifiedlife.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TKACD","PrimaryPayerId":"J1852","DisplayName":"American Interstate","Names":"","Aliases":"J1852","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PHOST","PrimaryPayerId":"TH071","DisplayName":"American Medical Association Insurance Agency","Names":"AMA Insurance Agency","Aliases":"5245|8933|AMAIA|TH071","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://provider.amainsure.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UTHGZ","PrimaryPayerId":"J1524","DisplayName":"American Mining Insurance Group LLC","Names":"","Aliases":"J1524","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FCXKA","PrimaryPayerId":"10596","DisplayName":"American National","Names":"American National Life Insurance Company of Texas","Aliases":"10595|10596|ANTEX","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://americannational.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HTIZD","PrimaryPayerId":"ANICO","DisplayName":"American National Insurance Company","Names":"","Aliases":"3869|4974|74048|AMNIC|ANICO","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"MQJOW","ParentPayerGroupName":"Brookfield Reinsurance Limited Group","WebsiteUrl":"https://www.americannational.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NZXJS","PrimaryPayerId":"43101","DisplayName":"American National Property and Casualty Company","Names":"ANPAC|Farm Family","Aliases":"43101","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://farmfamily.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ROKDF","PrimaryPayerId":"ZP3530","DisplayName":"American National Property and Casualty Company","Names":"","Aliases":"ZP3530","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CMBLK","PrimaryPayerId":"95606","DisplayName":"American Plan Administrators","Names":"","Aliases":"3027|8276|95606","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://apatpa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LEAQX","PrimaryPayerId":"APCA1","DisplayName":"American Primary Care Independent Practice Association","Names":"American Primary Care IPA","Aliases":"APCA1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://prosourcemso.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BXWEL","PrimaryPayerId":"42011","DisplayName":"American Republic Insurance Company","Names":"ARIC|American Republic Insurance Company - Wellabe","Aliases":"10017|1553|2895|42011|AMRREP|XARIC","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"YBSKE","ParentPayerGroupName":"Wellabe Mutual Holding Company Group","WebsiteUrl":"https://www.wellabe.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XRVEL","PrimaryPayerId":"J1028","DisplayName":"American Specialty Companies","Names":"","Aliases":"J1028","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XUBPO","PrimaryPayerId":"ASH01","DisplayName":"American Specialty Health","Names":"ASH","Aliases":"43146|4875|ASH01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ashlink.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BRSJH","PrimaryPayerId":"J1029","DisplayName":"American Specialty Insurance Medical Information Bureau","Names":"American Specialty Insurance Medical Information Bureau (MIB)","Aliases":"J1029","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NANXG","PrimaryPayerId":"ATHAL","DisplayName":"American Therapy Administrators","Names":"Holista Health|Holista LLC","Aliases":"7284|9585|ATHAL","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://therapyadmin.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EVXMC","PrimaryPayerId":"56195","DisplayName":"American Trust Administrators, Inc.","Names":"Carolina Summit Healthcare Incorporated","Aliases":"3695|5466|56195","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ataamerica.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DBEYS","PrimaryPayerId":"37322","DisplayName":"American Worker Health Plus","Names":"Companion Life","Aliases":"3273|37322|3989","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://theamericanworker.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JGZLR","PrimaryPayerId":"27516","DisplayName":"AmeriCare Community Care (New Jersey)","Names":"Americaid Community Care (New Jersey)","Aliases":"27516","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HDGYM","PrimaryPayerId":"R26509","DisplayName":"Americo Financial Life and Annuity Insurance Company","Names":"","Aliases":"11085|AMRCO|R26509","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"MKFKG","ParentPayerGroupName":"Financial Holdings Group","WebsiteUrl":"https://www.americo.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FCYPN","PrimaryPayerId":"26375","DisplayName":"Amerigroup","Names":"Amerigroup - DC,GA,NM,AZ,IA,NJ,TN,TX,WA|Amerigroup Community Care|WellPoint Maryland Incorporated|Wellpoint","Aliases":" 26375|10019|1569|1741|26374|26375|26375MA|AMGRP|AMRGRP|GQMUZ","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"GA|MD|NM|DC","Programs":"","PtanRequired":"false","ParentPayerGroupId":"VJLBL","ParentPayerGroupName":"Anthem","WebsiteUrl":"https://www.amerigroup.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IBMNO","PrimaryPayerId":"26378","DisplayName":"Amerigroup","Names":"Amerigroup Corporation|Amerigroup District of Columbia|Amerigroup RealSolutions|Wellpoint","Aliases":"26378|27514|27514MA|28806","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"VJLBL","ParentPayerGroupName":"Anthem","WebsiteUrl":"https://www.amerigroup.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DOMQR","PrimaryPayerId":"95044","DisplayName":"AmeriHealth","Names":"AmeriHealth Administrators|AmeriHealth Delaware - HMO/POS|AmeriHealth HMO|AmeriHealth HMO New Jersey and Delaware|AmeriHealth HMO, Inc.|AmeriHealth NJ – HMO|AmeriHealth NJ – POS, POS NG|AmeriHealth New Jersey|AmeriHealth New Jersey - HMO/POS|AmeriHealth PA – ERISA HMO|AmeriHealth PA – ERISA POS|AmeriHealth PA – HMO and Self-Funded HMO|AmeriHealth PA – POS and Self-Funded POS|AmeriHealth Pennsylvania - HMO/POS/ERISA","Aliases":"10974|11230|1930|23037|2800|95044","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"DE|NJ|PA","Programs":"COMMERCIAL|MEDICARE","PtanRequired":"false","ParentPayerGroupId":"SRQGL","ParentPayerGroupName":"Independence Health Group Inc Group","WebsiteUrl":"https://www.amerihealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YTSIP","PrimaryPayerId":"93688","DisplayName":"AmeriHealth - Delaware (Non HMO)","Names":"AmeriHealth DE - PPO|AmeriHealth Non-HMO (PPO) Delaware|AmeriHealth Non-Health Maintenance Organization (Preferred Provider Organization) Delaware|AmeriHealth PPO|QCC Insurance Company","Aliases":"4715|93688","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"DE","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.amerihealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QBKAY","PrimaryPayerId":"54763","DisplayName":"AmeriHealth Administrators","Names":"AmeriHealth Administrators & Inter-County|Inter County Health Plan","Aliases":"10416|2893|4555|54763|AMHADM","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"SRQGL","ParentPayerGroupName":"Independence Health Group Inc Group","WebsiteUrl":"https://www.amerihealth.com/tpa/index.html","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YNBER","PrimaryPayerId":"77799","DisplayName":"AmeriHealth Caritas Delaware","Names":"AmeriHealth Delaware","Aliases":"00194|12275|7507|7746|77799|A7030|AHCDE","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"DE","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.amerihealthcaritasde.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TRGQL","PrimaryPayerId":"77002","DisplayName":"AmeriHealth Caritas District of Columbia","Names":"AmeriHealth Caritas DC","Aliases":"11193|46148|5670|6441|77002|A5420|AHCDC|DCCHH","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"DC","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.amerihealthcaritasdc.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YFBTV","PrimaryPayerId":"77003","DisplayName":"AmeriHealth Caritas Florida","Names":"AmeriHealth Caritas Florida Family of Plans|Prestige Health Choice","Aliases":"10965|2106|45056|77003|8963|PHCMCO","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"FL","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.amerihealthcaritasfl.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WHFNQ","PrimaryPayerId":"LCARE","DisplayName":"AmeriHealth Caritas Louisiana","Names":"LA Care|LaCHIP","Aliases":"10640|27357|4638|6156|LCARE","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"LA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.amerihealthcaritasla.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RDSUE","PrimaryPayerId":"87716","DisplayName":"AmeriHealth Caritas New Hampshire","Names":"AmeriHealth Caritas Health Plan New Hampshire","Aliases":"13294|2090|8238|83098|87716|AMNHP|EUMCI","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NH","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"SRQGL","ParentPayerGroupName":"Independence Health Group Inc Group","WebsiteUrl":"https://www.amerihealthcaritasnh.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LZLXW","PrimaryPayerId":"47073","DisplayName":"AmeriHealth Caritas Next (Delaware)","Names":"AmeriHealth Caritas Next, Delaware|AmeriHealth Caritas VIP Next, Inc.","Aliases":"47073|7043|9426|ACNDE","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"DE","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.amerihealthcaritasnext.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PVYNT","PrimaryPayerId":"45408","DisplayName":"AmeriHealth Caritas Next (Florida)","Names":"AmeriHealth Caritas Next - Product of AmeriHealth Caritas Florida|AmeriHealth Caritas Next, a product of AmeriHealth Caritas Florida","Aliases":"15550|45408|7044|9427|A8233|ACNFL|IRGXY","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"FL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.amerihealthcaritasnext.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FTKZF","PrimaryPayerId":"75066","DisplayName":"AmeriHealth Caritas Next (Louisiana)","Names":"AmeriHealth Caritas Louisiana","Aliases":"3464|75066|9006","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"LA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.amerihealthcaritasnext.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CDLWM","PrimaryPayerId":"83148","DisplayName":"AmeriHealth Caritas Next (North Carolina)","Names":"AmeriHealth Caritas Next NC|AmeriHealth Caritas North Carolina","Aliases":"14399|6038|83148|9192|AHCNC|AMNPA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NC","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.amerihealthcaritasnext.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NANCR","PrimaryPayerId":"81671","DisplayName":"AmeriHealth Caritas North Carolina","Names":"","Aliases":"14337|4083|81671|8859|A1671|AMNCN|PWTUO","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"ND","Programs":"","PtanRequired":"false","ParentPayerGroupId":"SRQGL","ParentPayerGroupName":"Independence Health Group Inc Group","WebsiteUrl":"https://www.amerihealthcaritasnc.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MDQTM","PrimaryPayerId":"77001","DisplayName":"AmeriHealth Caritas Northeast","Names":"AmeriHealth Caritas Pennsylvania|AmeriHealth Northeast","Aliases":"6421|77001|AHCNE","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"PA","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.amerihealthcaritaspa.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RFOHR","PrimaryPayerId":"35374","DisplayName":"AmeriHealth Caritas Ohio","Names":"AmeriHealth Caritas Ohio Medicaid (Radiology Only)|AmeriHealth Caritas Ohio Medicaid MCE|AmeriHealth Caritas Ohio Medicaid Managed Care Entity|Ohio Medicaid (AmeriHealth)","Aliases":"14380|35374|7045|84243|842435374|9428|AMEROH|MMISODJFS0021920","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"OH","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.amerihealthcaritasoh.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MKEIP","PrimaryPayerId":"42435","DisplayName":"AmeriHealth Caritas Ohio (Transportation Only) ","Names":"AmeriHealth Caritas Ohio Medicaid MCE (Transportation Only)|AmeriHealth Caritas Ohio Medicaid Managed Care Entity (Transportation Only)","Aliases":"42435|7046|9479","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"OH","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.amerihealthcaritasoh.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CRQTA","PrimaryPayerId":"22248","DisplayName":"AmeriHealth Caritas Pennsylvania","Names":"AmeriHealth Caritas Nebraska Aligned|AmeriHealth Caritas Nebraska Community HealthChoices|AmeriHealth Caritas Northeast (combined with Line of Business 0500)|AmeriHealth Caritas Northwest (Pennsylvania New West) (combined with Line of Business 0500)|AmeriHealth Caritas Pennsylvania Aligned|AmeriHealth Caritas Pennsylvania Community HealthChoices|AmeriHealth Caritas Southwest|AmeriHealth First|AmeriHealth Mercy Health Plan|Vista Health Plan","Aliases":"10340|11189|11232|14301|1710|22248|4547|A3285|AHMHP|AMHLTH|FLZRK","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"PA","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.amerihealthcaritaspa.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YRBQD","PrimaryPayerId":"SCNAC","DisplayName":"AmeriHealth Caritas Pennsylvania Dental","Names":"Amerihealth Caritas Northeast","Aliases":"SCNAC","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"OVER_4_WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"PA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.amerihealthcaritaspa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PHEGA","PrimaryPayerId":"APA02","DisplayName":"AmeriHealth Caritas VIP Care","Names":"","Aliases":"11152|AMVIP|APA02","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"PA","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.amerihealthcaritasvipcare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XEHAD","PrimaryPayerId":"90689","DisplayName":"AmeriHealth Caritas VIP Care - Michigan HIDE SNP","Names":"","Aliases":"3701|9023|90689","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"MI","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.amerihealthcaritasvipcareplus.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"POSZE","PrimaryPayerId":"A7000","DisplayName":"AmeriHealth Caritas VIP Care Delaware Dual Special Needs Plan","Names":"AmeriHealth Caritas VIP Care Delaware DSNP","Aliases":"A7000","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"DE","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.amerihealthcaritasvipcare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ITCTI","PrimaryPayerId":"77013","DisplayName":"AmeriHealth Caritas VIP Care Plus","Names":"AmeriHealth Caritas VIP Care Plus (Medicare-Medicaid Plan)|AmeriHealth Caritas VIP Care Plus (Michigan)|AmeriHealth Michigan, Inc.","Aliases":"11151|7212|77013|7701P|8656|A0192|ACVMI|ZLQMG","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"MI","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.amerihealthcaritasvipcareplus.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MFINS","PrimaryPayerId":"87406","DisplayName":"AmeriHealth Caritas VIP Care – Delaware","Names":"AmeriHealth Caritas Next - Delaware|AmeriHealth Caritas VIP Care (Dual-Eligible Special Needs Plan)|AmeriHealth Caritas VIP Care - Delaware DSNP|AmeriHealth Caritas VIP Care Delaware DSNP|AmeriHealth Caritas VIP Care Delaware Dual Eligible Special Needs Plan","Aliases":"16602|7081|87406|9484|ACVDE","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"DE","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.amerihealthcaritasvipcare.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GEAOC","PrimaryPayerId":"88232","DisplayName":"AmeriHealth Caritas VIP Care – Florida","Names":"AmeriHealth Caritas VIP Care (HMO-SNP)|AmeriHealth Caritas VIP Care - Florida Dual Eligible Special Needs Plan|AmeriHealth Caritas VIP Care Florida DSNP","Aliases":"7082|88232|9485|ACVFL","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"FL","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"SRQGL","ParentPayerGroupName":"Independence Health Group Inc Group","WebsiteUrl":"https://www.amerihealthcaritasvipcare.com/fl/provider/resources","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UGNCU","PrimaryPayerId":"73575","DisplayName":"AmeriHealth Caritas VIP Care – Louisiana","Names":"AmeriHealth Caritas VIP Care - Louisiana HIDE SNP|Amerihealth Caritas VIP Care Louisiana DSNP","Aliases":"3499|73575|9022","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"LA","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.amerihealthcaritasvipcare.com/la","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"URNXC","PrimaryPayerId":"31481","DisplayName":"AmeriHealth Caritas VIP Care – North Carolina","Names":"AmeriHealth Caritas VIP Care - North Carolina HIDE SNP|Amerihealth Caritas VIP care North Carolina DSNP","Aliases":"31481|3702|9024","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NC","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.amerihealthcaritasvipcare.com/nc","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CRTIM","PrimaryPayerId":"77062","DisplayName":"AmeriHealth Caritas VIP Care – Pennsylvania","Names":"AmeriHealth Caritas Aligned|AmeriHealth Caritas PA CHC|AmeriHealth Caritas Pennsylvania Community HealthChoices|AmeriHealth Caritas VIP Care|AmeriHealth Caritas VIP Care (D-SNP)|AmeriHealth Caritas VIP Care Pennsylvania DSNP|Amerihealth Caritas PA Community Healthchoices","Aliases":"1268|16746|6501|77062|AMCHC|AMCVC","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"PA","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.amerihealthcaritasvipcare.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GRWQL","PrimaryPayerId":"60061","DisplayName":"AmeriHealth NJ","Names":"AmeriHealth Insurance Company of New Jersey|AmeriHealth New Jersey (Non-HMO)|AmeriHealth Non-HMO (PPO) New Jersey|AmeriHealth Non-Health Maintenance Organization (Preferred Provider Organization) New Jersey|AmeriHealth PPO|Comprehensive Major Medical","Aliases":"3558|4716|60061|SX075|Z95397","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"NJ","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"SRQGL","ParentPayerGroupName":"Independence Health Group Inc Group","WebsiteUrl":"https://www.amerihealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VOKJI","PrimaryPayerId":"12504","DisplayName":"Ameriprise Auto and Home Insurance","Names":"American Family Insurance|CONNECT|IDS Property Casualty Insurance Company","Aliases":"12504","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.amfam.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"STNDE","PrimaryPayerId":"J1447","DisplayName":"Amerisafe Risk Services Incorporated","Names":"American Interstate Insurance Company","Aliases":"J1447","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.amerisafe.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YMINP","PrimaryPayerId":"J1206","DisplayName":"Amerisure Insurance","Names":"","Aliases":"J1205|J1206","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NVPMP","PrimaryPayerId":"AMTAS00428","DisplayName":"Ameritas Dental First Reliance Standard Life","Names":"","Aliases":"10233|10234|AMTAS00428","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NGBNP","PrimaryPayerId":"10236","DisplayName":"Ameritas Group - Standard Insurance","Names":"","Aliases":"10236|10237","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NMJOM","PrimaryPayerId":"47009","DisplayName":"Ameritas Life Insurance Corporation","Names":"","Aliases":"00425|47009|9402|AMTAS00425|CX047|FKQUR|PSBWG","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"YVJPJ","ParentPayerGroupName":"Ameritas Mutual Holding Group","WebsiteUrl":"https://www.ameritas.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VPKNU","PrimaryPayerId":"01757","DisplayName":"AmFirst Insurance","Names":"","Aliases":"01757|5619|6254","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://amfirstinsco.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XSIUR","PrimaryPayerId":"64090","DisplayName":"AmFirst Insurance Company","Names":"","Aliases":"64090","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RJHVR","PrimaryPayerId":"AMIPA","DisplayName":"AMG Independent Practice Association (Ava Medical Group)","Names":"","Aliases":"AMIPA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KXCXO","PrimaryPayerId":"CB531","DisplayName":"AmGuard Insurance Company Doing Business As (DBA) Guard","Names":"AmGuard Insurance Company doing business as Guard","Aliases":"3025|8274|CB531","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.guard.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UITEL","PrimaryPayerId":"J1453","DisplayName":"AmGuard Insurance Company Guard DBA","Names":"AmGUARD Insurance Company - Berkshire Hathaway GUARD Insurance Companies Doing Business As|Berkshire Hathaway GUARD Insurance Companies|EastGUARD Insurance Company - Berkshire Hathaway GUARD Insurance Companies Doing Business As|NorGUARD Insurance Company - Berkshire Hathaway GUARD Insurance Companies|WestGUARD Insurance Company - Berkshire Hathaway GUARD Insurance Companies","Aliases":"J1453","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.guard.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JZQKL","PrimaryPayerId":"00682","DisplayName":"AMH HEALTH, LLC","Names":"AMH HEALTH, LLC","Aliases":"00682","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IMLWS","PrimaryPayerId":"12287","DisplayName":"Amica Mutual Insurance Company","Names":"","Aliases":"12287","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.amica.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SNJTD","PrimaryPayerId":"79966","DisplayName":"Amida Care","Names":"","Aliases":"7144|7689|79966","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NY","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.amidacareny.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KSGES","PrimaryPayerId":"24818","DisplayName":"Amidicare","Names":"Vidacare","Aliases":"24818|3466|3940","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VDXJG","PrimaryPayerId":"1255618831","DisplayName":"Ampla Health -Brms","Names":"Benefit & Risk Management Services","Aliases":"1255618831","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://brmsonline.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JZACS","PrimaryPayerId":"72947","DisplayName":"Amplifon","Names":"Amplifon Americas","Aliases":"00264|5087|72947|9134","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.amplifonusa.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MYGTK","PrimaryPayerId":"J1868","DisplayName":"AmTrust North America","Names":"AmTrust Financial","Aliases":"J1868","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.amtrustfinancial.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZQPZK","PrimaryPayerId":"ZQPZK","DisplayName":"AmTrust North America – Workers Compensation","Names":"AmTrust North America (WC)","Aliases":"ZQPZK","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IJDKN","PrimaryPayerId":"8120","DisplayName":"Amwins Connect","Names":"GBS|Group Benefits|Tristar Benefit Administrators","Aliases":"8120|CB951","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"true","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.amwinsconnect.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SUGSD","PrimaryPayerId":"ANAMY","DisplayName":"Anatomy","Names":"Anatomy Financial","Aliases":"3431|ANAMY","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.anatomy.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EMKJX","PrimaryPayerId":"IHS10","DisplayName":"Anchor (ClaimsBridge)","Names":"Anchor Benefit|OneVeracity","Aliases":"5066|9111|IHS10","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.anchorbenefit.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SPSCP","PrimaryPayerId":"53085","DisplayName":"Anchor Benefit Consulting","Names":"Anchor Benefit Consulting Inc.|Anchor Benefit Consulting Incorporated","Aliases":"4269|53085|8948","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.anchorbenefit.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RAVDO","PrimaryPayerId":"J1919","DisplayName":"Anchor Claims Management","Names":"","Aliases":"J1919","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JXHMY","PrimaryPayerId":"86062","DisplayName":"Ancillary Benefit Systems Arizona","Names":"","Aliases":"86062","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MZEUH","PrimaryPayerId":"A2004","DisplayName":"Ancillary Care Services","Names":"HealthSmart","Aliases":"A2004","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.healthsmartnetworksolutions.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZHISY","PrimaryPayerId":"SCPR1","DisplayName":"Angel Medical Group","Names":"Superior Choice Medical Group","Aliases":"4095|8837|SCPR1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://superiorchoiceipa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JZIRA","PrimaryPayerId":"39856","DisplayName":"Angle Health","Names":"Angle Health Insurance|Angle Insurance Company of Utah|Balanced Insurance Company of Utah","Aliases":"16747|39856|6032|9184|ANGLE","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"UT","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.anglehealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VQLJM","PrimaryPayerId":"J1620","DisplayName":"Anheuser-Busch","Names":"","Aliases":"J1620","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WZMBS","PrimaryPayerId":"SMG01","DisplayName":"Antelope Valley Medical Associates (Regal)","Names":"Pegasus Medical Group (Regal)|Sierra Medical Group (Regal)","Aliases":"7237|8657|SMG01|SMG01MA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.regalmed.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SYUDZ","PrimaryPayerId":"45302","DisplayName":"Anthem Blue Cross and Blue Shield HP","Names":"Anthem Blue Cross and Blue Shield HealthPlus|HealthPlus Managed Long Term Care","Aliases":"1117|45302|9527","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://providers.anthem.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RVDFM","PrimaryPayerId":"0022147","DisplayName":"Anthem Blue Cross and Blue Shield MyCare Ohio","Names":"MyCare Anthem Blue Cross Blue Shield|Next Generation MyCare Ohio - Anthem","Aliases":"0022147|16728|22147|3813|9061|SKOH15|SKOH22","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"OH","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.anthem.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ERSOT","PrimaryPayerId":"00265","DisplayName":"Anthem Blue Cross and Blue Shield Nevada","Names":"Anthem Blue Cross Blue Shield Nevada|Anthem Blue Cross Blue Shield Nevada (Medicaid Reclamation)|Anthem Blue Cross Blue Shield Nevada Dental|Anthem Blue Cross Blue Shield of Nevada Dental|Anthem Blue Cross and Blue Shield Nevada - Medicare Advantage|Anthem Medicaid Nevada|EVV Anthem Blue Cross Blue Shield of Nevada|Managed Care Services Nevada","Aliases":"000265|00265|00267|10260|265|267|2906|7496|NVANT|NVBCBS|NVBLD|NVBLS|SB765|SB765MA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"NV","Programs":"COMMERCIAL|MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"VJLBL","ParentPayerGroupName":"Anthem","WebsiteUrl":"https://www.anthem.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LWZVQ","PrimaryPayerId":"AD265","DisplayName":"Anthem Blue Cross and Blue Shield Nevada - Dental","Names":"Anthem Blue Cross Blue Shield Nevada Dental|Anthem Blue Cross Blue Shield of Nevada Dental|Anthem Blue Cross and Blue Shield Nevada - Dental","Aliases":"84101|AD265","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NV","Programs":"","PtanRequired":"false","ParentPayerGroupId":"VJLBL","ParentPayerGroupName":"Anthem","WebsiteUrl":"https://www.anthem.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QCFIB","PrimaryPayerId":"00770","DisplayName":"Anthem Blue Cross and Blue Shield New Hampshire","Names":"Anthem Blue Cross Blue Shield New Hampshire|Anthem Blue Cross Blue Shield New Hampshire (Medicaid Reclamation)|Anthem Blue Cross Blue Shield New Hampshire Dental|Anthem Blue Cross Blue Shield of New Hampshire|Blue Cross Blue Shield of New Hampshire","Aliases":"00270|00770|10261|1512|270|7422|NHBCBS|NHBLD|NHBLS|SB770","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"NH","Programs":"COMMERCIAL|MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"VJLBL","ParentPayerGroupName":"Anthem","WebsiteUrl":"https://www.anthem.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GLGXP","PrimaryPayerId":"AD270","DisplayName":"Anthem Blue Cross and Blue Shield New Hampshire - Dental","Names":"Anthem Blue Cross Blue Shield New Hampshire Dental|Anthem Blue Cross and Blue Shield New Hampshire - Dental","Aliases":"AD270|BNH01","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NH","Programs":"","PtanRequired":"false","ParentPayerGroupId":"VJLBL","ParentPayerGroupName":"Anthem","WebsiteUrl":"https://www.anthem.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DGOYK","PrimaryPayerId":"423","DisplayName":"Anthem Blue Cross and Blue Shield Virginia","Names":"Anthem Blue Cross Blue Shield Virginia|Anthem Blue Cross Blue Shield Virginia (Medicaid Reclamation)|Anthem Blue Cross Blue Shield Virginia Dental|Anthem Blue Cross and Blue Shield Virginia - Medicare Advantage|Anthem HealthKeepers|Anthem Insurance Companies, Inc.|Blue Cross Blue Shield of Virginia (Trigon)|HealthKeepers, Inc.","Aliases":"00423|00923|10049|1413|423|5537|923|BZHRG|CB923|JSB923MA|SB923|SB923MA|SB924|VABCBS|VABLS","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"VA","Programs":"COMMERCIAL|MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"VJLBL","ParentPayerGroupName":"Anthem","WebsiteUrl":"https://www.anthem.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QDQKQ","PrimaryPayerId":"AD423","DisplayName":"Anthem Blue Cross and Blue Shield Virginia - Dental","Names":"Anthem Blue Cross Blue Shield Virginia Dental|Anthem Blue Cross and Blue Shield Virginia - Dental","Aliases":"AD423","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"VA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"VJLBL","ParentPayerGroupName":"Anthem","WebsiteUrl":"https://www.anthem.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VLFZU","PrimaryPayerId":"450","DisplayName":"Anthem Blue Cross and Blue Shield Wisconsin","Names":"Anthem Blue Cross Blue Shield Wisconsin|Anthem Blue Cross Blue Shield Wisconsin Dental|Anthem Blue Cross Blue Shield of Wisconsin|Anthem Blue Cross Blue Shield of Wisconsin (Medicaid Reclamation)|Anthem Blue Cross and Blue Shield Wisconsin - Medicare Advantage","Aliases":"00450|00950|09500|10299|1401|3501|450|5511|950|CB950|SB950|SB950MA|WIBCBS|WIBLD|WIBLS","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"WI","Programs":"COMMERCIAL|MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"VJLBL","ParentPayerGroupName":"Anthem","WebsiteUrl":"https://www.anthem.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GVGQK","PrimaryPayerId":"AD450","DisplayName":"Anthem Blue Cross and Blue Shield Wisconsin - Dental","Names":"Anthem Blue Cross Blue Shield Wisconsin Dental|Anthem Blue Cross and Blue Shield Wisconsin - Dental","Aliases":"39141|AD450","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"WI","Programs":"","PtanRequired":"false","ParentPayerGroupId":"VJLBL","ParentPayerGroupName":"Anthem","WebsiteUrl":"https://www.anthem.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PEMIS","PrimaryPayerId":"0002937","DisplayName":"Anthem Blue Cross Blue Shield (Ohio Medicaid)","Names":"Anthem Ohio Medicaid","Aliases":"0002937|14381|29370|7071|9461|SKOH5","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"OH","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"VJLBL","ParentPayerGroupName":"Anthem","WebsiteUrl":"https://www.anthem.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VIVLO","PrimaryPayerId":"84105","DisplayName":"Anthem Blue Cross Blue Shield Dental","Names":"Anthem Blue Cross Blue Shield of Indiana Dental|Anthem Blue Cross Blue Shield of Kentucky Dental|Anthem Blue Cross Blue Shield of Ohio Dental|Anthem Blue Cross Blue Shield of Virginia Dental|Anthem Dental|Blue Cross Blue Shield (Anthem) Dental|Blue Cross Blue Shield of Indiana (Anthem) Dental|Blue Cross Blue Shield of Kentucky (Anthem) Dental|Blue Cross Blue Shield of New York (Empire)|Blue Cross Blue Shield of Ohio (Anthem) Dental|Teamsters Joint Council #83 Of VA|UFCW Local 655 Health and Welfare Fund","Aliases":"55093|84105|INBLD|KYBLD|OHBLD|VABLD","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"VJLBL","ParentPayerGroupName":"Anthem","WebsiteUrl":"https://www.anthem.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XUAZF","PrimaryPayerId":"241","DisplayName":"Anthem Blue Cross Blue Shield Missouri","Names":"Anthem Blue Cross Blue Shield Missouri (Medicaid Reclamation)|Anthem Blue Cross Blue Shield Missouri - Medicare Advantage|Anthem Blue Cross Blue Shield Missouri Dental|Anthem Blue Cross Blue Shield of Missouri Dental|Anthem Blue Cross and Blue Shield Missouri","Aliases":"00012|00241|10695|1408|241|2597|5467|MOBCBS|MOBLD|MOBLS|SB741|SB741MA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"MO","Programs":"COMMERCIAL|MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"VJLBL","ParentPayerGroupName":"Anthem","WebsiteUrl":"https://www.anthem.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JLZGK","PrimaryPayerId":"AD241","DisplayName":"Anthem Blue Cross Blue Shield Missouri - Dental","Names":"Anthem Blue Cross Blue Shield Missouri - Dental|Anthem Blue Cross Blue Shield Missouri Dental|Anthem Blue Cross Blue Shield of Missouri Dental","Aliases":"AD241|TLX52","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"MO","Programs":"","PtanRequired":"false","ParentPayerGroupId":"VJLBL","ParentPayerGroupName":"Anthem","WebsiteUrl":"https://www.anthem.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LAESW","PrimaryPayerId":"040","DisplayName":"Anthem Blue Cross Blue Shield of California","Names":"Anthem Blue Cross Blue Shield of California - Medicare Advantage|Anthem Blue Cross California|Anthem Blue Cross California Dental|Anthem Blue Cross of California Dental","Aliases":"00040|040|10051|1684|3511|4417|47198|84103|CABC|CABLD|SB040|SB040MA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"94-0360524","CoverageTypes":"dental|medical|vision","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"VJLBL","ParentPayerGroupName":"Anthem","WebsiteUrl":"https://www.anthem.com/ca","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TBEZC","PrimaryPayerId":"050","DisplayName":"Anthem Blue Cross Blue Shield of Colorado","Names":"Anthem Blue Cross Blue Shield Colorado|Anthem Blue Cross Blue Shield Colorado Dental|Anthem Blue Cross Blue Shield of Colorado - Medicare Advantage|Anthem Blue Cross and Blue Shield Colorado|Anthem Insurance Companies|Rocky Mountain Life","Aliases":"00050|050|10029|12B03|1415|1549|7416|COBCBS|COBLD|COBLS|ENCWGS|SB550|SB550MA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"84-0747736","CoverageTypes":"dental|medical|vision","OperatingStates":"CO","Programs":"","PtanRequired":"false","ParentPayerGroupId":"VJLBL","ParentPayerGroupName":"Anthem","WebsiteUrl":"https://www.anthem.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JXQGL","PrimaryPayerId":"AD050","DisplayName":"Anthem Blue Cross Blue Shield of Colorado - Dental","Names":"Anthem Blue Cross Blue Shield Colorado Dental|Anthem Blue Cross Blue Shield of Colorado - Dental","Aliases":"84099|AD050","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"CO","Programs":"","PtanRequired":"false","ParentPayerGroupId":"VJLBL","ParentPayerGroupName":"Anthem","WebsiteUrl":"https://www.anthem.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DRWRY","PrimaryPayerId":"00060","DisplayName":"Anthem Blue Cross Blue Shield of Connecticut","Names":"Anthem Blue Cross Blue Shield Connecticut|Anthem Blue Cross Blue Shield Connecticut (Medicaid Reclamation)|Anthem Blue Cross Blue Shield Connecticut Dental|Anthem Blue Cross Blue Shield of Connecticut - Medicare Advantage|Anthem Blue Cross and Blue Shield Connecticut|Blue Care Family Plan|Blue Cross Blue Shield of Connecticut- Family Plan|City of Norwalk","Aliases":"00060|00103|060|10030|12B04|1420|1922|2427|3419|3420|C2BLS|C3BLS|CTBCBS|CTBLD|CTBLS|SB560|SB560MA|WNVPH","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"CT","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"VJLBL","ParentPayerGroupName":"Anthem","WebsiteUrl":"https://www.anthem.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JQZWJ","PrimaryPayerId":"AD060","DisplayName":"Anthem Blue Cross Blue Shield of Connecticut - Dental","Names":"Anthem Blue Cross Blue Shield Connecticut Dental|Anthem Blue Cross Blue Shield of Connecticut - Dental","Aliases":"00700|65358|AD060","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"CT","Programs":"","PtanRequired":"false","ParentPayerGroupId":"VJLBL","ParentPayerGroupName":"Anthem","WebsiteUrl":"https://www.anthem.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XLWXQ","PrimaryPayerId":"SB563","DisplayName":"Anthem Blue Cross Blue Shield of Connecticut Federal Employees Program","Names":"","Aliases":"SB563","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CT","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VDCLI","PrimaryPayerId":"00601","DisplayName":"Anthem Blue Cross Blue Shield of Georgia","Names":"Anthem - Georgia|Anthem - Georgia (Medicaid Reclamation)|Anthem Blue Cross Blue Shield of Georgia|Anthem Blue Cross Blue Shield of Georgia - Medicare Advantage|Anthem Georgia Dental|Anthem Insurance Companies|Anthem-Georgia Dental|BCBS Georgia|BCBSGA|Blue Cross Blue Shield of Georgia","Aliases":"00101|00601|10032|101|1407|3537|3537I|601|CBGA1|GA512|GABCBS|GABCS|GABLD|GABLS|SB600|SB601|SB601MA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"GA","Programs":"COMMERCIAL|MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"VJLBL","ParentPayerGroupName":"Anthem","WebsiteUrl":"https://www.anthem.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AOQAR","PrimaryPayerId":"130","DisplayName":"Anthem Blue Cross Blue Shield of Indiana","Names":"Anthem Blue Cross Blue Shield Indiana|Anthem Blue Cross Blue Shield Indiana (Medicaid Reclamation)|Anthem Blue Cross Blue Shield Indiana Dental|Anthem Blue Cross Blue Shield of Indiana - Medicare Advantage|Anthem Blue Cross and Blue Shield Indiana|Anthem Insurance Companies|Blue Cross Blue Shield of Indiana (FEP)","Aliases":"00130|00630|00715|10258|130|1412|3502|630|INBCBS|INBLS|SB630|ZBIN0|ZBIN0MA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"IN","Programs":"COMMERCIAL|MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"VJLBL","ParentPayerGroupName":"Anthem","WebsiteUrl":"https://www.anthem.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XZLKV","PrimaryPayerId":"AD130","DisplayName":"Anthem Blue Cross Blue Shield of Indiana - Dental","Names":"Anthem Blue Cross Blue Shield Indiana Dental|Anthem Blue Cross Blue Shield of Indiana - Dental","Aliases":"AD130|TLU89","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"IN","Programs":"","PtanRequired":"false","ParentPayerGroupId":"VJLBL","ParentPayerGroupName":"Anthem","WebsiteUrl":"https://www.anthem.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YJHSX","PrimaryPayerId":"180","DisplayName":"Anthem Blue Cross Blue Shield of Maine","Names":"Anthem Blue Cross Blue Shield Maine|Anthem Blue Cross Blue Shield Maine (Medicaid Reclamation)|Anthem Blue Cross Blue Shield Maine Dental|Anthem Blue Cross Blue Shield of Maine - Medicare Advantage|Anthem Blue Cross and Blue Shield Maine","Aliases":"00180|00680|10036|12B13|180|20180|3548|680|7446|MEBCBS|MEBLD|MEBLS|SB680","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"ME","Programs":"COMMERCIAL|MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"VJLBL","ParentPayerGroupName":"Anthem","WebsiteUrl":"https://www.anthem.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZWDXG","PrimaryPayerId":"AD180","DisplayName":"Anthem Blue Cross Blue Shield of Maine - Dental","Names":"Anthem Blue Cross Blue Shield Maine Dental|Anthem Blue Cross Blue Shield of Maine - Dental","Aliases":"AD180|BME01","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"ME","Programs":"","PtanRequired":"false","ParentPayerGroupId":"VJLBL","ParentPayerGroupName":"Anthem","WebsiteUrl":"https://www.anthem.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OLQXL","PrimaryPayerId":"803","DisplayName":"Anthem Blue Cross Blue Shield of New York","Names":"Anthem Blue Cross Blue Shield of New York - Medicare Advantage|Anthem HealthChoice Assurance|Anthem Insurance Companies|Empire Blue Cross Blue Shield - Anthem Blue Cross Blue Shield New York|Empire Blue Cross Blue Shield - Anthem Blue Cross Blue Shield New York (Medicaid Reclamation)","Aliases":"00303|00803|00803R|10043|303|4437|803|EIJLI|EMHECH|NYBLS|SB803|SB803MA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"23-7391136","CoverageTypes":"dental|medical|vision","OperatingStates":"NY","Programs":"COMMERCIAL|MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"VJLBL","ParentPayerGroupName":"Anthem","WebsiteUrl":"https://www.anthem.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BHNXS","PrimaryPayerId":"00834","DisplayName":"Anthem Blue Cross Blue Shield Ohio","Names":"Anthem Blue Cross Blue Shield Ohio (Medicaid Reclamation)|Anthem Blue Cross Blue Shield Ohio - Medicare Advantage|Anthem Blue Cross Blue Shield Ohio Dental","Aliases":"00332|00834|10044|2418|332|3505|834|JZBOH0MA|OHBCBS|OHBLS|SB338|TASNX|ZBOH0|ZBOH0MA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"OH","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"VJLBL","ParentPayerGroupName":"Anthem","WebsiteUrl":"https://www.anthem.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KPLWV","PrimaryPayerId":"AD332","DisplayName":"Anthem Blue Cross Blue Shield Ohio - Dental","Names":"Anthem Blue Cross Blue Shield Ohio - Dental|Anthem Blue Cross Blue Shield Ohio Dental","Aliases":"AD332|TLU91","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"OH","Programs":"","PtanRequired":"false","ParentPayerGroupId":"VJLBL","ParentPayerGroupName":"Anthem","WebsiteUrl":"https://www.anthem.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LZNTN","PrimaryPayerId":"CBNY1","DisplayName":"Anthem Blue Cross of New York Dental","Names":"","Aliases":"CBNY1","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"NY","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"VJLBL","ParentPayerGroupName":"Anthem","WebsiteUrl":"https://www.anthem.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DXTYZ","PrimaryPayerId":"00660","DisplayName":"Anthem BlueCross BlueShield Kentucky","Names":"Anthem Blue Cross Blue Shield Kentucky|Anthem Blue Cross Blue Shield Kentucky (Medicaid Reclamation)|Anthem Blue Cross Blue Shield of Kentucky|Anthem Blue Cross and Blue Shield Kentucky|Anthem BlueCross BlueShield Kentucky - Medicare Advantage|Anthem Kentucky Managed Care Plan","Aliases":"00160|00660|10259|160|2421|5534|660|KYBCBS|KYBLS|SB660|ZBKY0|ZBKY0MA|ZBKYM","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"KY","Programs":"COMMERCIAL|MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"VJLBL","ParentPayerGroupName":"Anthem","WebsiteUrl":"https://www.anthem.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XWQGQ","PrimaryPayerId":"AD160","DisplayName":"Anthem BlueCross BlueShield Kentucky - Dental","Names":"Anthem Blue Cross Blue Shield Kentucky Dental|Anthem BlueCross BlueShield Kentucky - Dental","Aliases":"AD160|TLU90","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"KY","Programs":"","PtanRequired":"false","ParentPayerGroupId":"VJLBL","ParentPayerGroupName":"Anthem","WebsiteUrl":"https://www.anthem.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SVEIS","PrimaryPayerId":"CARMO","DisplayName":"Anthem CareMore","Names":"Amerigroup|CareMore Health|Carelon Health","Aliases":"11080|3293|5635|CARMO|CARMOMA|CM001|CRMRE|CRMRE1","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"VJLBL","ParentPayerGroupName":"Anthem","WebsiteUrl":"https://www.anthem.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XQFDU","PrimaryPayerId":"ANTHMEAP","DisplayName":"Anthem EAP","Names":"Anthem Employee Assistance Program","Aliases":"ANTHEM|ANTHEMEAP|ANTHMEAP","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"VJLBL","ParentPayerGroupName":"Anthem","WebsiteUrl":"https://www.anthem.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SJOTR","PrimaryPayerId":"00958","DisplayName":"Anthem Maine Health","Names":"","Aliases":"00958|4020|8749|ANTHME","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"ME","Programs":"","PtanRequired":"false","ParentPayerGroupId":"VJLBL","ParentPayerGroupName":"Anthem","WebsiteUrl":"https://www.anthem.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UMZWA","PrimaryPayerId":"958","DisplayName":"Anthem MaineHealth","Names":"","Aliases":"958","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"ME","Programs":"","PtanRequired":"false","ParentPayerGroupId":"VJLBL","ParentPayerGroupName":"Anthem","WebsiteUrl":"https://www.anthem.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ERZLE","PrimaryPayerId":"ANTHEMMEDREC","DisplayName":"Anthem Medicaid Reclamation ERA","Names":"Anthem Medicaid Reclamation Electronic Remittance Advice","Aliases":"ANTHEMMEDREC","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"VJLBL","ParentPayerGroupName":"Anthem","WebsiteUrl":"https://www.anthem.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TXFUQ","PrimaryPayerId":"2937V","DisplayName":"Anthem Ohio Medicaid Vision","Names":"Anthem EyeMed Vision","Aliases":"2937V|7086|9493","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"OH","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.anthem.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MQBGL","PrimaryPayerId":"IHS05","DisplayName":"Antidote Health Plan of Arizona","Names":"Antidote Health Plan (AZ)|ClaimsBridge","Aliases":"5060|9105|IHS05","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"AZ","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.antidotehealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XHOIS","PrimaryPayerId":"34196","DisplayName":"Apex Health Solutions ","Names":"Apex Benefit Services","Aliases":"10708|2994|34196|3814|ABFTS","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"OH","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.apex-healthsolutions.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LOAEI","PrimaryPayerId":"NMM08","DisplayName":"ApolloCare Partners of Nevada","Names":"Astrana Health","Aliases":"NMM08","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NV","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.astranahealthmanagement.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZXMTC","PrimaryPayerId":"ZXMTC","DisplayName":"Applied Risk Services – Workers Compensation","Names":"Applied Risk Services","Aliases":"ZXMTC","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GCVEL","PrimaryPayerId":"J1775","DisplayName":"Applied Underwriters","Names":"","Aliases":"J1775","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XUAWI","PrimaryPayerId":"00318","DisplayName":"Apricus","Names":"DMEplus|Enlyte","Aliases":"00318","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.enlyte.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OKALU","PrimaryPayerId":"66056","DisplayName":"APS Healthcare Puerto Rico Inc","Names":"","Aliases":"66056|6857|7638","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"PR","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://apshealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PZLKJ","PrimaryPayerId":"IHS44","DisplayName":"Apta Health","Names":"","Aliases":"IHS44","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.aptahealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NSJWB","PrimaryPayerId":"APWU","DisplayName":"APWUHP","Names":"APWU Health Plan|American Postal Workers Union|American Postal Workers Union Health Plan","Aliases":"00245|10016|44444|44445|4503|6436|AMPWS|AMPWU|APWU","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.apwuhp.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KWLDL","PrimaryPayerId":"ARDGM","DisplayName":"Aradigm","Names":"Aradigm Health","Aliases":"ARDGM","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.aradigmhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PNTQR","PrimaryPayerId":"J1502","DisplayName":"Aramark","Names":"","Aliases":"J1502","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SOKUH","PrimaryPayerId":"59266","DisplayName":"ArcBest Corporation","Names":"","Aliases":"3239|3970|59266","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://arcb.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LAXGP","PrimaryPayerId":"R3495","DisplayName":"ArchCare Senior Life","Names":"ArchCare Senior Life PACE","Aliases":"3480|9010|R3495","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NY","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.archcare.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GWKQY","PrimaryPayerId":"J1735","DisplayName":"Archer Daniels Midland Company","Names":"","Aliases":"J1735","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XNKFB","PrimaryPayerId":"J1944","DisplayName":"Areas USA Incorporated","Names":"","Aliases":"J1944","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GJTON","PrimaryPayerId":"J1420","DisplayName":"Argent","Names":"","Aliases":"J1420","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AWTWA","PrimaryPayerId":"19801","DisplayName":"Argonaut Insurance Company (Argo)","Names":"Argo Group","Aliases":"19801","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.argogroup.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PGQWR","PrimaryPayerId":"27154","DisplayName":"Arizona Priority Care","Names":"AZPC","Aliases":"27154|4695|6220|AZPCP","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"AZ","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://azprioritycare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TQPZH","PrimaryPayerId":"CB776","DisplayName":"Arizona School Alliance","Names":"The Arizona School Alliance for Workers’ Compensation, Inc.","Aliases":"CB776|J4395A|J4395W","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"AZ","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.azschoolalliance.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GESBC","PrimaryPayerId":"00520","DisplayName":"Arkansas Blue Cross and Blue Shield","Names":"Arkansas Blue Cross Blue Shield|Arkansas Blue Cross and Blue Shield|Arkansas Blue Cross and Blue Shield - Medicare Advantage|Arkansas BlueCross BlueShield|Blue Cross Blue Shield Arkansas|Blue Cross Blue Shield of Arkansas|USAble Mutual Insurance Company","Aliases":"00181|00520|10028|2416|520|5596|83470|ARBCBS|ARBLS|CBAR1|SB520|TLY26","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"AR","Programs":"COMMERCIAL|MEDICARE","PtanRequired":"false","ParentPayerGroupId":"XPYUB","ParentPayerGroupName":"Blue Cross Blue Shield of Arkansas","WebsiteUrl":"https://www.arkansasbluecross.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GWZTK","PrimaryPayerId":"62176","DisplayName":"Arkansas Managed Care Organization (Stratose)","Names":"","Aliases":"2446|62176|6991","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UMFYW","PrimaryPayerId":"WE220","DisplayName":"Arkansas Municipal League Workers Comp","Names":"ArkansasMLWCP","Aliases":"WE220","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"AR","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.armunileague.org","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YTAWA","PrimaryPayerId":"ARLO1","DisplayName":"Arlo","Names":"Railway Health","Aliases":"ARLO1","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.joinarlo.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LMHRQ","PrimaryPayerId":"00299","DisplayName":"ArmadaCare","Names":"","Aliases":"00299|14410|3082|8710|90886","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://armadacare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UZOEC","PrimaryPayerId":"43905","DisplayName":"Arnot Ogden Medical Center (UCS)","Names":"Vālenz Health","Aliases":"43905","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NY","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.valenzhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RZPFH","PrimaryPayerId":"IHS27","DisplayName":"Array Health","Names":"","Aliases":"IHS27","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.array.health","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XUYPK","PrimaryPayerId":"ARMC1","DisplayName":"Arrowhead Regional Medical Center","Names":"","Aliases":"7010|9292|ARMC1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.arrowheadregional.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MPESX","PrimaryPayerId":"J1564","DisplayName":"ArrowPoint","Names":"","Aliases":"J1564","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WDOKL","PrimaryPayerId":"06603","DisplayName":"ASA GEHA","Names":"Aetna Signature Administrators GEHA","Aliases":"06603|7187|8628","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"NATIONAL","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.geha.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SFVEK","PrimaryPayerId":"46311","DisplayName":"Ascension","Names":"Ascension Illinois|Presence ERC|Presence Employee Resource Center","Aliases":"46311|5041|8888","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RWCWB","PrimaryPayerId":"36396","DisplayName":"Ascension Care Partners Illinois","Names":"ACPIL|AMITA Health Care Network|Presence Health Partners","Aliases":"2479|36396|4923","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IL","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ascensioncarepartners.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KLZUY","PrimaryPayerId":"R3471","DisplayName":"Ascension Living Alexian PACE","Names":"Alexian PACE|Alexian Program of All-Inclusive Care for the Elderly","Aliases":"2842|7968|R3471","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TN","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://healthcare.ascension.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MHERO","PrimaryPayerId":"R3470","DisplayName":"Ascension Living Hope PACE","Names":"","Aliases":"2859|8035|R3470","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ascensionliving.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QSDNF","PrimaryPayerId":"R3458","DisplayName":"Ascension Living PACE Michigan","Names":"Ascension Living Program of All-inclusive Care for the Elderly Michigan","Aliases":"4091|8769|R3458","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ascensionliving.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RPITX","PrimaryPayerId":"R3459","DisplayName":"Ascension Living St. Vincent PACE Incorporated","Names":"Ascension Living St Vincent PACE Incorporated","Aliases":"2829|8053|R3459","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ascensionliving.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IHPJR","PrimaryPayerId":"46156","DisplayName":"Aspire Health Plan","Names":"Carelon Health - Palliative Care","Aliases":"1163|14354|2507|46156|46156MA|ASPHPL","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.aspirehealthplan.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DNBUQ","PrimaryPayerId":"46478","DisplayName":"Aspirion","Names":"Continuum Health Solutions LLC|Empire Dental","Aliases":"46478|7113|7670","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.aspirion.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SMWNZ","PrimaryPayerId":"59557","DisplayName":"Aspirion - Worker Compensation","Names":"Continuum Health Solutions LLC - Worker Compensation","Aliases":"59557|7013|9295","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.aspirion.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LYLTJ","PrimaryPayerId":"A2741","DisplayName":"Aspirus Arise Health Plan","Names":"","Aliases":"A2741","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OKTBT","PrimaryPayerId":"WPS01","DisplayName":"Aspirus Health Plan - Commercial","Names":"Health Solutions|WPS|Wisconsin Commercial|Wisconsin Physicians Service Commercial","Aliases":"12X29|WPS01","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"DAYS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.wpshealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CWQSV","PrimaryPayerId":"36483","DisplayName":"Aspirus Medicare Advantage","Names":"Aspirus Health Plan (Medicare Advantage)","Aliases":"36483|4097|8840|ARCMS|ASPRS","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.aspirushealthplan.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CHECL","PrimaryPayerId":"38265","DisplayName":"ASR Health Benefits","Names":"ASR Benefits","Aliases":"10984|1960|38265|4294|ASRHLT|TLU02","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.asrhealthbenefits.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PHNTE","PrimaryPayerId":"ASRM1","DisplayName":"ASRM","Names":"ASRM LLC","Aliases":"2689|5230|ASRM1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://asrmllc.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ETZNP","PrimaryPayerId":"86147","DisplayName":"Assist Health Group Inc","Names":"","Aliases":"1762|2965|86147","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://assisthealthgroup.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BHGVK","PrimaryPayerId":"ADMPR","DisplayName":"Associacion de Maestros Puerto Rico","Names":"","Aliases":"ADMPR","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"ONE_CLICK","EligibilityInquiryEnrollmentTimeframe":"WEEKS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"PR","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LNPFV","PrimaryPayerId":"13788","DisplayName":"Associated Adminstrators LLC","Names":"","Aliases":"1010|13788|7834","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://associated-admin.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JCJSI","PrimaryPayerId":"AHPSC","DisplayName":"Associated Hispanic Physicians Southern California","Names":"MedPOINT Management","Aliases":"7794|8554|AHPSC|MPM44","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medpointmanagement.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GTMDZ","PrimaryPayerId":"36326","DisplayName":"Associates for Health Care Incorporated (Claritev)","Names":"Claritev|HealthEOS|MultiPlan","Aliases":"36326|4592|6482","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.claritev.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JHEDY","PrimaryPayerId":"L0150","DisplayName":"Association de Maestros Puerto Rico","Names":"","Aliases":"L0150","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"ONE_CLICK","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"ONE_CLICK","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VJGQF","PrimaryPayerId":"C1034","DisplayName":"Assurance Company of America (Commercial Only)","Names":"Farmers Insurance Commercial (Commercial Only)|Farmers Insurance Exchange (Commercial Only) (Auto Only)|Maryland Casualty Company (Commercial Only)|Mid-Century Insurance Company|Truck Insurance Exchange (Commercial Only)","Aliases":"C1034","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IFEQF","PrimaryPayerId":"CLFRS","DisplayName":"Assured Benefits Administrators","Names":"Frates Benefit Administrators|PLICO","Aliases":"CLFRS","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.abadmin.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LFEQF","PrimaryPayerId":"74240","DisplayName":"Assured Benefits Administrators","Names":"OSMA Health","Aliases":"00443|2980|4265|74240|IHS13","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.abadmin.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KRSCD","PrimaryPayerId":"84320","DisplayName":"Astiva Health","Names":"","Aliases":"5038|84320|8886","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"CA","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://astivahealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WZXLP","PrimaryPayerId":"1518259035","DisplayName":"Astra Home Care -Jns","Names":"True Care Home Care","Aliases":"1518259035","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"NY","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://truecareny.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GCTCB","PrimaryPayerId":"NMM01","DisplayName":"Astrana Health","Names":"Access Primary Care Medical Group|Advanced Physicians Independent Practice Association|Advantage Medical Group|Allied Pacific of California|Allied Physicians Medical Group|Arcadia Methodist Independent Practice Association|Arroyo Vista Family Health Center|Astrana Care Texas|Citrus Valley Independent Practice Association|Diamond Bar Medical Group|Glendale Adventist Medical Center|Greater Orange Medical Group|Greater San Gabriel Medical Group|Network Medical Management|Pacific Independent Practice Association|Physicians Healthways Independent Practice Association|White Memorial Medical Center","Aliases":"4154|6626|NMM01|NMM13|ZP4001","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.astranahealthmanagement.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PGBPN","PrimaryPayerId":"PHM10","DisplayName":"Astrana Health","Names":"Mission Community IPA|Mission Community Independent Practice Association|Pacific Health MSO","Aliases":"5871|PHM10","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.astranahealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JEKWK","PrimaryPayerId":"93221","DisplayName":"Asuris Northwest Health","Names":"","Aliases":"10529|4477|4881|5942|93221|93221MA|ASURNH|SX179","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"WA","Programs":"COMMERCIAL|MEDICARE","PtanRequired":"false","ParentPayerGroupId":"ZLVTI","ParentPayerGroupName":"Regence Blue Cross Blue Shield","WebsiteUrl":"https://www.asuris.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QXSXK","PrimaryPayerId":"J1914","DisplayName":"Athens","Names":"","Aliases":"J1914","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.athensadmin.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GPGRW","PrimaryPayerId":"J3728","DisplayName":"Athens - Crum and Foster (WC)","Names":"Athens Administrators","Aliases":"J3728","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.athensadmin.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DTJYK","PrimaryPayerId":"ATH01","DisplayName":"Atheria","Names":"Atheria Health Management","Aliases":"2292|2574|ATH01|ATH02|ATH03|ATH04|ATH05|ATH06","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://atheriahealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PETJE","PrimaryPayerId":"19895","DisplayName":"Atlantic Mutual Insurance","Names":"","Aliases":"19895","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UBUJG","PrimaryPayerId":"AEC01","DisplayName":"Atlantis EyeCare","Names":"Atlantis Eyecare","Aliases":"AEC01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SAOAP","PrimaryPayerId":"90956","DisplayName":"Atlas Life Insurance Company","Names":"Midland National Life Insurance Company|National Financial Insurance Company|SunAmerica Life Insurance Company|Unified Life Insurance Company","Aliases":"5201|7970|90956|90956-003","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://unifiedlife.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GBAEC","PrimaryPayerId":"ATRIO","DisplayName":"Atrio Health Plans","Names":"","Aliases":"12269|4799|5934|ATRIO|MPCHA|Z1351|Z1351MA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NV|OR","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"YOTOJ","ParentPayerGroupName":"Cascade Comprehensive Care Group","WebsiteUrl":"https://www.atriohp.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XPVDV","PrimaryPayerId":"1639285414","DisplayName":"Ats Medical Services -Brms","Names":"Benefit & Risk Management Services","Aliases":"1639285414","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://brmsonline.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AQXVB","PrimaryPayerId":"AUDIO","DisplayName":"AudioNet - National Elevator","Names":"AudioNet National Elevator","Aliases":"2861|AUDIO","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.audionetamerica.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MSQSJ","PrimaryPayerId":"AUDIOCS","DisplayName":"AudioNet America","Names":"","Aliases":"AUDIOCS","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.audionetamerica.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YHRMV","PrimaryPayerId":"AUDIOSVS","DisplayName":"AudioNet UAW Ford Retirees GM Employees","Names":"Audionet UAW Ford Retirees GM Employees","Aliases":"AUDIOSVS","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.audionetamerica.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SOJQG","PrimaryPayerId":"AUDIOABS","DisplayName":"AudioNet UAW GM Retirees","Names":"AudioNet United Auto Workers General Motors Retirees|AudioNet United Auto Workers General Motors Retirees Chrysler Employees and Retirees","Aliases":"AUDIOABS","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.audionetamerica.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KGYKW","PrimaryPayerId":"10472","DisplayName":"AultCare","Names":"AultCare Insurance Company|Aultra Administrative Group|Prime Time Health Plan|Primetime Health Plan","Aliases":"10472|2899|341488123|37242|4791|493|5927|7560|AULOH|AULTC|DX052|MNAUL|QYURF|Z1224|Z1224MA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"OH","Programs":"","PtanRequired":"false","ParentPayerGroupId":"ZGAUI","ParentPayerGroupName":"Aultman Health Foundation Group","WebsiteUrl":"https://www.aultcare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TAOWD","PrimaryPayerId":"J1682","DisplayName":"Austin Mutual Insurance","Names":"","Aliases":"J1682","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RUOKZ","PrimaryPayerId":"CMSEB","DisplayName":"Austin Regional Clinic Employee Benefit Plan","Names":"ARC Employee Benefit Plan|Covenant Management Systems|Covenant Management Systems Employee Benefit Plan","Aliases":"1195|12T60|CMSEB","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TX","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.austinregionalclinic.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KRDHZ","PrimaryPayerId":"J1580","DisplayName":"Auto-Owners Homeowners Insurance Company","Names":"","Aliases":"J1580","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.auto-owners.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IJIPU","PrimaryPayerId":"J1583","DisplayName":"Auto-Owners Insurance","Names":"Auto Owners Insurance Company","Aliases":"J1583","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.auto-owners.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FQPQJ","PrimaryPayerId":"J1556","DisplayName":"Auto-Owners Insurance Company","Names":"","Aliases":"J1556","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.auto-owners.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZRWUH","PrimaryPayerId":"J1596","DisplayName":"Auto-Owners Life Insurance Company","Names":"","Aliases":"J1596","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.auto-owners.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LCPWU","PrimaryPayerId":"J1699","DisplayName":"Auto-Owners Property Owners Insurance Company","Names":"Auto Owners Property Owners Insurance Company","Aliases":"J1699","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.auto-owners.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TZBLX","PrimaryPayerId":"J1688","DisplayName":"Auto-Owners Southern-Owners Company","Names":"Auto-Owners Insurance Southern-Owners Company","Aliases":"J1688","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"MN","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.auto-owners.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HPADS","PrimaryPayerId":"38259","DisplayName":"Automated Benefit Services","Names":"ABS for SmartHealth|Ascension SmartHealth|US Health and Life|USHL|United Security Health and Life|United States Health and Life Insurance Company","Aliases":"10890|3230|38259|8947|ABSERV|JFSCI","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.abs-tpa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PCNFM","PrimaryPayerId":"37280","DisplayName":"Automated Group Administration","Names":"AGA|Automated Group Administration Incorporated|Automated Group Administrators","Aliases":"37280|3878|4931","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.aga-tpa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VXVQG","PrimaryPayerId":"ZP1228","DisplayName":"Automatic Sprinkler Local 281-Icl 1228","Names":"Automatic Sprinkler Local 281|Automatic Sprinkler Local 281-Icl 1228","Aliases":"ZP1228","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UWTPX","PrimaryPayerId":"J1861","DisplayName":"Automobile Dealers Insurance Company Incorporated","Names":"","Aliases":"J1861","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FKVUF","PrimaryPayerId":"10900","DisplayName":"Auxiant","Names":"Midwest Health Partners","Aliases":"10900|1108|1121|76079|8059|9520|AUX01|CX024","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.auxiant.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AGIGZ","PrimaryPayerId":"92645","DisplayName":"Auxiant (Valenz)","Names":"AuxiantHealth|Midwest Health Partners|Valenz Health|WPS|Wisconsin Physicians Service Insurance Corporation","Aliases":"4092|8833|92645","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.auxiant.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WXASO","PrimaryPayerId":"660178704","DisplayName":"Auxilio Plan de Socios","Names":"Plan de Socios Auxilio Mutuo","Aliases":"660178704|PDSAM","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"PR","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.auxilioplandesocios.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OEWJO","PrimaryPayerId":"660647362","DisplayName":"Auxilio Salud Plus Inc","Names":"","Aliases":"47362|660647362","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"PR","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://auxiliosaludplus.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RNBLS","PrimaryPayerId":"AVA03","DisplayName":"Avalon Healthcare Solutions (Capital Blue Cross)","Names":"","Aliases":"8199|AVA03","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.avalonhcs.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ONONV","PrimaryPayerId":"AVA02","DisplayName":"Avalon Healthcare Solutions (North Carolina)","Names":"","Aliases":"1251|AVA02","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.avalonhcs.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GBHQP","PrimaryPayerId":"AVA01","DisplayName":"Avalon Healthcare Solutions (South Carolina)","Names":"","Aliases":"7467|AVA01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.avalonhcs.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BPQNJ","PrimaryPayerId":"AVA04","DisplayName":"Avalon Healthcare Solutions (Vermont)","Names":"","Aliases":"8259|AVA04","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.avalonhcs.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UDLDK","PrimaryPayerId":"AVANT","DisplayName":"Avant Health Incorporated","Names":"","Aliases":"AVANT","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.westernmedicalipa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DJWDL","PrimaryPayerId":"2811","DisplayName":"Avanta IPA","Names":"Avanta IPA","Aliases":"2811|7950","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://avantanetwork.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RVWJP","PrimaryPayerId":"AH001","DisplayName":"Avente Health Solutions","Names":"","Aliases":"AH001","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://pacifichealthalliance.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IYMGL","PrimaryPayerId":"10869","DisplayName":"Avera Health Plans","Names":"Dakotacare|First Choice Health","Aliases":"10869|1786|46045|7120|8561|AH002","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"IA|NE|SD","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.averahealthplans.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NBPHJ","PrimaryPayerId":"87098","DisplayName":"Avesis Insurance Incorporated","Names":"Avesis|Avēsis Third Party Administrators","Aliases":"6135|86098|87098|Z0058","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"BPMHQ","ParentPayerGroupName":"Guardian Life Group","WebsiteUrl":"https://myavesis.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NOGQI","PrimaryPayerId":"59274","DisplayName":"AvMed","Names":"AvMed, Inc.","Aliases":"00293|10024|1573|3802|59274|592742907|59275|AVMED","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"FL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"FKWIM","ParentPayerGroupName":"Sentara Health Management Group","WebsiteUrl":"https://www.avmed.org","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KGKQV","PrimaryPayerId":"1619373024","DisplayName":"Avon Health Center - Ihp","Names":"Avon Health Center - Ihp","Aliases":"1619373024","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KWXLV","PrimaryPayerId":"1962728584","DisplayName":"Avondale Care Group - Jns","Names":"Avondale Care Group - Jns","Aliases":"1962728584","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MKSPB","PrimaryPayerId":"91185","DisplayName":"Avēsis","Names":"Access Dental Plan|Avesis","Aliases":"91185","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"true","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://myavesis.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HKFDT","PrimaryPayerId":"AXM01","DisplayName":"Axminster Medical Group","Names":"","Aliases":"7272|8686|AXM01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://providencemedicalassociates.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WKHUV","PrimaryPayerId":"J1018","DisplayName":"Ayers Trucking","Names":"","Aliases":"J1018","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WJWLV","PrimaryPayerId":"ZP4040","DisplayName":"Ayin Health Solutions","Names":"Ayin Health Solutions|Performance Health Technology, Ltd","Aliases":"ZP4040","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CAXSY","PrimaryPayerId":"53589","DisplayName":"AZ Blue","Names":"AZ Blue - Medicare Advantage|Arizona Blue|Blue Cross Blue Shield of Arizona|Medica","Aliases":"10027|13290|4426|53589|5547|77078|AZBCBS|AZBLS|BCBSAZ|SB530|SB530MA|TBX01","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"86-0004538","CoverageTypes":"dental|medical|vision","OperatingStates":"AZ","Programs":"COMMERCIAL|MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.azblue.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IOBVR","PrimaryPayerId":"BCTF1","DisplayName":"B&C Trust Funds","Names":"Bakery and Confectionery Union and Industry International Health","Aliases":"1216|4510|BCTF1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://bctrustfunds.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HUBTS","PrimaryPayerId":"10585","DisplayName":"BAI","Names":"HUB International|IMHS|Integrated Mental Health Services","Aliases":"10585","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.benefitadministrators.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PHKHA","PrimaryPayerId":"BKRFM","DisplayName":"Bakersfield Family Medical Center","Names":"","Aliases":"4241|6614|BKRFM","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.bfmg.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TIUCT","PrimaryPayerId":"J1729","DisplayName":"Bank of America","Names":"","Aliases":"J1729","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TIWGZ","PrimaryPayerId":"ZP3600","DisplayName":"Bankers Conseco Life Insurance Company","Names":"","Aliases":"68560|ZP3600","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"PBUGR","ParentPayerGroupName":"CNO Financial Group","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YNFZF","PrimaryPayerId":"11238","DisplayName":"Bankers Fidelity Life Insurance Company","Names":"","Aliases":"11238|1139|1868|61239|7026|71919|BNKFL|NVGLX|Z95871","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"AL|AZ|AR|CO|DE|FL|GA|HI|ID|IL|IN|IA|KS|KY|LA|MD|MI|MS|MO|MT|NE|NV|NJ|NM|NC|ND|OH|OK|PA|SC|SD|TN|TX|UT|VA|WV|WY|DC|PR","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"JHBRS","ParentPayerGroupName":"Atlantic American Group","WebsiteUrl":"https://bankersfidelity.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XYOKJ","PrimaryPayerId":"10813","DisplayName":"Bankers Life and Casualty","Names":"","Aliases":"10813|1240|36066|5543|61263|99999-0178|BNKLIF","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"PBUGR","ParentPayerGroupName":"CNO Financial Group","WebsiteUrl":"https://providers.bankers.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BXQGX","PrimaryPayerId":"90000","DisplayName":"Bankers Life and Casualty Company Washington National Insurance Company","Names":"","Aliases":"90000","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YORGT","PrimaryPayerId":"09830","DisplayName":"Banner Medicare Advantage Dual HMO D-SNP","Names":"Banner - University Family Care - AHCCCS Complete Care (B – UFC/ACC)|Banner Health Plans|Banner Medicare Advantage Dual|Banner Medicare Advantage Dual HMO D-SNP|Banner – University Family Care/AHCCCS Complete Care (B – UFC/ACC)|University Physicians Care Advantage","Aliases":"09830|09830MA|10707|2727|3648","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"AZ","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.bannerhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TJENP","PrimaryPayerId":"16663","DisplayName":"BANNER MEDICARE ADVANTAGE PLUS (PPO)","Names":"","Aliases":"16663","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IL|IN|KY|OK|WV","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UQNJM","PrimaryPayerId":"12X42","DisplayName":"Banner Medicare Advantage Prime HMO ","Names":"AARP United Medicare Complete |Banner Health|Banner Health (HealthNet Senior)|Banner Health (UnitedHealthcare Medicare Advantage)|Banner Medicare Advantage Plus|Banner Medicare Advantage Prime|Banner Plan Administration (Choice Plus and Select 500)","Aliases":"12X42|12X42MA|16664|3845|5046|5047|6610|84323|84323MA|84324|8892|8893|QRIMK","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"AZ|ID|MT|WY","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.bannerhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VJPZD","PrimaryPayerId":"ZP1090","DisplayName":"Banner Plan Administration Inc.","Names":"Banner Plan Administration Inc.","Aliases":"ZP1090","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WXWLK","PrimaryPayerId":"67895","DisplayName":"Banner | Aetna","Names":"Banner Health and Aetna Health Insurance Company|Banner Health and Aetna Health Plan|Banner|Aetna","Aliases":"67895|7521|7752|J67895","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"AZ","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.banneraetna.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SWCMC","PrimaryPayerId":"66901","DisplayName":"Banner – University Family Care/Arizona Long Term Care","Names":"Banner – University Family Care- Arizona Long Term Care System (B – UFC/ALTCS)|Banner – University Family Care/Arizona Long Term Care System (B – UFC/ALTCS)","Aliases":"1290|6548|66901|BUFCR","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.bannerhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WJSXB","PrimaryPayerId":"65026","DisplayName":"Baptist Health South Florida","Names":"","Aliases":"6260|65026","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"FL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://baptisthealth.net","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KJCWC","PrimaryPayerId":"BSC01","DisplayName":"Baptist Heart Institute","Names":"Baptist Cardiac Program","Aliases":"BSC01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.baptistonline.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EBLPF","PrimaryPayerId":"67668","DisplayName":"Baptist Hospital South Florida International","Names":"","Aliases":"67668|7721","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://baptisthealth.net","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MDGPJ","PrimaryPayerId":"J2334","DisplayName":"Bardavon Health Innovations","Names":"","Aliases":"J2334","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.bardavon.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EXGAW","PrimaryPayerId":"J1503","DisplayName":"Barnes","Names":"","Aliases":"J1503","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OINAN","PrimaryPayerId":"J1686","DisplayName":"Barrett Business Services Incorporated (BBSI)","Names":"","Aliases":"J1686","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YIMRV","PrimaryPayerId":"J1770","DisplayName":"BART San Francisco Bay Area Rapid Transit","Names":"Bay Area Rapid Transit San Francisco Bay Area Rapid Transit","Aliases":"J1770","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CUDLJ","PrimaryPayerId":"89248","DisplayName":"BAS","Names":"Benefit Administration Services, LLC|UCS Basi Whitefish Credit Union|University Credit System Basic Security Administration Whitefish Credit Union","Aliases":"89248","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.baslimited.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NMVWB","PrimaryPayerId":"84041","DisplayName":"Basil Castrovinci Associates","Names":"","Aliases":"1207|3571|84041","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NJ","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.fundactuary.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OYSOX","PrimaryPayerId":"J1958","DisplayName":"Bass Pro Group LLC","Names":"","Aliases":"J1958","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KFTMY","PrimaryPayerId":"NMM11","DisplayName":"Bay Area Care Partners","Names":"Astrana Health","Aliases":"3876|9086|NMM11","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.astranahealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LIFUM","PrimaryPayerId":"06941","DisplayName":"Bay Bridge Administrators LLC","Names":"","Aliases":"06941|7798|8559","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TX","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.bbadmin.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VJTWQ","PrimaryPayerId":"81079","DisplayName":"BayCare Health Plans","Names":"BayCare Health System|BayCare Select Health Plans Inc|BayCare Select Health Plans Incorporated|BayCarePlus Medicare Advantage","Aliases":"12265|2016|81079|8150|BAYCR","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"FL","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://baycare.org","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CKANP","PrimaryPayerId":"88030","DisplayName":"Baylor Scott and White Health Plan","Names":"Scott & White Health Plan|Scott and White Health Plan","Aliases":"00255|00331|10360|2254|49096|7907|88030|KWOTW|SAWHP|SCWHP|SWHP|TH002","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"TX","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"STSKA","ParentPayerGroupName":"Scott & White Group","WebsiteUrl":"https://www.bswhealthplan.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DLZPV","PrimaryPayerId":"ANTHEMFEP","DisplayName":"Bcbs Fep","Names":"Bcbs Fep|Blue Cross Blue Shield Federal Employee Program","Aliases":"ANTHEMFEP","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YBGUJ","PrimaryPayerId":"KCJVHL","DisplayName":"BCBS Michigan Medicare Plus Blue PPO (KC) - JVHL","Names":"BCBS Michigan Medicare Plus Blue PPO (KC) - Joint Venture Hospital Laboratory","Aliases":"5273|52730|8942|KCJVHL|MIMPB","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"ONE_CLICK","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"MI","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.jvhl.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JSEKS","PrimaryPayerId":"WYBA","DisplayName":"BCBS Wyoming Medicare Advantage","Names":"WyoBlue Advantage","Aliases":"3870|9085|WYBA|WYBA0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"WY","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.bcbswy.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ODYAW","PrimaryPayerId":"FHC &AFFILIATES","DisplayName":"Beacon Health Options","Names":"","Aliases":"FHC &AFFILIATES","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JCRPV","PrimaryPayerId":"J1234","DisplayName":"Beacon Mutual","Names":"","Aliases":"J1234","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BXUIQ","PrimaryPayerId":"J1030","DisplayName":"Bealls Incorporated Midwest Employers","Names":"","Aliases":"J1030","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RTDLM","PrimaryPayerId":"BEAM1","DisplayName":"Beam","Names":"Beam Benefits Insurance Services|Beam Dental|Beam Insurance Administrators|Beam Insurance Services","Aliases":"2782|BEAM1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.beambenefits.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PGVKZ","PrimaryPayerId":"10701","DisplayName":"BEIC","Names":"Bridgefield Employers Insurance Company|Great American Insurance Group|Summit Consulting","Aliases":"10701","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.summitholdings.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WSHEL","PrimaryPayerId":"MPM10","DisplayName":"Bella Vista Medical Group","Names":"MedPOINT Management","Aliases":"5874|8688|MPM10","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medpointmanagement.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KJMZK","PrimaryPayerId":"J1257","DisplayName":"Benchmark Insurance","Names":"","Aliases":"J1257","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.benchmarkinsco.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KGPLK","PrimaryPayerId":"23210","DisplayName":"BeneCare","Names":"BeneCare|BeneCare Dental |BeneCare Dental Plans","Aliases":"23210","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TJYUK","PrimaryPayerId":"J1347","DisplayName":"Benefit Administrative Services (BAS)","Names":"Bloomingdale's|Macy's Corporate Services Incorporated","Aliases":"J1347","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RXCNZ","PrimaryPayerId":"81140","DisplayName":"Benefit Assistance Corporation","Names":"Benefit Assistance Company, LLC (BAC)","Aliases":"81140|8217","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"WV","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.bacwv.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VJQEM","PrimaryPayerId":"25145","DisplayName":"Benefit Coordinators Corporation (Pittsburgh PA)","Names":"Benefit Coordinators Company","Aliases":"25145|3864","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"PA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.bccbenefitsolutions.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VXMHN","PrimaryPayerId":"52682","DisplayName":"Benefit Health Plan","Names":"BHPI|LifeX|MBA TPA","Aliases":"3762|52682|9044","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://benefithealthplan.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LYQNE","PrimaryPayerId":"48611","DisplayName":"Benefit Management Incorporated","Names":"Benefit Management Inc of KS|Benefit Management Incorporated of Kansas|Point C","Aliases":"48611|6118|BMNKS|BNMGT","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.gotobmi.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JTOQL","PrimaryPayerId":"37212","DisplayName":"Benefit Management Systems (HealthSmart)","Names":"Benefit Management Systems Incorporated","Aliases":"10665|37212","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.healthsmart.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IEBXR","PrimaryPayerId":"88027","DisplayName":"Benefit Plan Administrators","Names":"Benefit Plan Administrators, Inc. Trust Funds Office|Northern Nevada Trust Fund","Aliases":"3721|7584|88027","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA|NV","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://bpatrustfunds.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XQVOF","PrimaryPayerId":"37118","DisplayName":"Benefit Plan Administrators (Roanoke Virginia)","Names":"","Aliases":"37118|7526|8482","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"VA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://bpatpa.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NILFN","PrimaryPayerId":"IHS19","DisplayName":"Benefit Plan Administrators - ClaimsBridge","Names":"","Aliases":"1416|8065|IHS19","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VSQDJ","PrimaryPayerId":"39081","DisplayName":"Benefit Plan Administrators Company (Eau Claire Wisconsin)","Names":"Benefit Plan Administrators Company (Eau Claire, Wisconsin)","Aliases":"2882|3622|39081|524298|88052","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.pointchealth.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EMSWN","PrimaryPayerId":"46891","DisplayName":"Benefit Plan Administrators Eau Claire Incorporated (UCS)","Names":"Benefit Plan Administrators Eau Claire Incorporated (United Contractors and Staff)","Aliases":"2049|46891|8188","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DQWSH","PrimaryPayerId":"BPS77","DisplayName":"Benefit Plan Services","Names":"BPS TPA","Aliases":"BPS01|BPS77","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"NC","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.bpstpa.info","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SJCKF","PrimaryPayerId":"40459","DisplayName":"Benefit Support","Names":"BSI|Benefits Support|MedCas","Aliases":"2808|40459|7947","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.benefitsupport.biz","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AHFDN","PrimaryPayerId":"77149","DisplayName":"benefitSMART","Names":"B Smart Health Solutions|bSMART Health Solutions","Aliases":"1848|77149","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.benefit-smart.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ATKAX","PrimaryPayerId":"37248","DisplayName":"BeneSys","Names":"BeneSys Incorporated","Aliases":"2219|37248|38238|9629","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.benesys.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XMYJW","PrimaryPayerId":"XMYJW","DisplayName":"Benetech – Workers Compensation","Names":"Benetech","Aliases":"XMYJW","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DFPEU","PrimaryPayerId":"18151","DisplayName":"BeniComp IncentiCare","Names":"BeniComp|Incenticare","Aliases":"18151|6046|9200","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.benicomp.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FLNPF","PrimaryPayerId":"LV700","DisplayName":"Berkley Entertainment ","Names":"W. R. Berkley Corporation","Aliases":"LV700","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.berkleyentertainment.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LZRWN","PrimaryPayerId":"J1523","DisplayName":"Berkley Net Underwriters LLC","Names":"","Aliases":"00069|J1523","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LNRDC","PrimaryPayerId":"J1526","DisplayName":"Berkley Risk Administrators Company LLC","Names":"","Aliases":"00155|1858|J1526","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AEAEN","PrimaryPayerId":"TP019","DisplayName":"Berkley Specialty Underwriters","Names":"W. R. Berkley Corporation","Aliases":"TP019","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.berkley.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LMELM","PrimaryPayerId":"20044","DisplayName":"Berkshire Hathaway Homestate Companies","Names":"Cypress Insurance Company (Member BHHC)|National Liability and Fire Insurance Company|Oak River (Berkshire Hathaway Homestate Companies (BHHC))|Redwood Fire and Casualty Insurance Company","Aliases":"20044","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://bhhc.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IQJMS","PrimaryPayerId":"J1031","DisplayName":"Berwind Corporation","Names":"","Aliases":"J1031","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SUNPL","PrimaryPayerId":"BDIUS","DisplayName":"Best Doctors Insurance","Names":"","Aliases":"2820|8545|BDIUS","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.bestdoctorsinsurance.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IMZXN","PrimaryPayerId":"95604","DisplayName":"Best Life and Health Insurance Company","Names":"","Aliases":"3269|4925|95604","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"NATIONAL","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.bestlife.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LXKAD","PrimaryPayerId":"MPM42","DisplayName":"Beverly Hospital","Names":"MedPOINT Management","Aliases":"2079|8224|MPM42","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medpointmanagement.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JLJPW","PrimaryPayerId":"11697","DisplayName":"Bfic","Names":"Bfic","Aliases":"11697","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FVDHF","PrimaryPayerId":"BSHS1","DisplayName":"Bienvivir","Names":"Bienvivir All-Inclusive Senior Health|Bienvivir PACE|Bienvivir Senior Health Plan","Aliases":"12X40|2972|6781|BSHS1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TX","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.bienvivir.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CTLXR","PrimaryPayerId":"J1738","DisplayName":"Big 5 Corporation","Names":"","Aliases":"J1738","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HJFXY","PrimaryPayerId":"J1691","DisplayName":"Bituminous Fire and Marine","Names":"","Aliases":"J1691","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XKPXI","PrimaryPayerId":"J1579","DisplayName":"Bituminous Insurance Company","Names":"","Aliases":"J1579","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WAIEX","PrimaryPayerId":"CB987","DisplayName":"Blackhawk Claims Service","Names":"Black Hawk|Blackhawk|Dart Member Care|U.S. Department of Labor (DOL) - Department of Energy|U.S. Department of Labor (DOL) Department of Energy","Aliases":"00353|6605|6896|CB987|IHS46","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.blackhawktpa.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PZGSP","PrimaryPayerId":"BVES1","DisplayName":"Block Vision Eye Specialists (Versant Health)","Names":"","Aliases":"BVES1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://versanthealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QRDXA","PrimaryPayerId":"BV001","DisplayName":"Block Vision Incorporated","Names":"Vipa","Aliases":"BV001","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DRZID","PrimaryPayerId":"72128","DisplayName":"Blue Advantage","Names":"Louisiana Blue|Vantage Health Plan Incorporated|​Blue​ Cross ​and ​Blue​ Shield​ of​ Louisiana","Aliases":"1816|72128|72128MA|77701|8046|9764|VANTAG  ","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"LA","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"OTRAH","ParentPayerGroupName":"Louisiana Health Service Group","WebsiteUrl":"https://providers.lablue.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GRBZC","PrimaryPayerId":"22770","DisplayName":"Blue Care Network - BCN Commercial Labs (JJ) - JVHL","Names":"Blue Care Network (BCN Commercial Labs)","Aliases":"2277|22770|4981|JJJVHL|JVHL1|ZWLQD","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.jvhl.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MSHVG","PrimaryPayerId":"J9JVHL","DisplayName":"Blue Care Network JVHL Network (J9) - JVHL","Names":"Blue Care Network JVHL Network (J9) - Joint Venture Hospital Laboratory|JVHL Blue Care Network* (JVHL Network)","Aliases":"2732|4980|J9JVHL|J9JVL","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"ONE_CLICK","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZINQS","PrimaryPayerId":"RIBLS","DisplayName":"Blue Cross & Blue Shield of Rhode Island","Names":"BCBS Rhode Island|Blue Chip of Rhode Island|Blue Cross & Blue Shield of Rhode Island - Medicare Advantage|Blue Cross Blue Shield Rhode Island|Blue Cross Blue Shield of Rhode Island","Aliases":"00370|00870|10304|12B74|53473|5579|7420|BCRIC|CB870|NOHEV|RIBCBS|RIBLS|SB870","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"SUPPORTED","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"FL|MA|RI","Programs":"COMMERCIAL|MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.bcbsri.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DTQAZ","PrimaryPayerId":"G00621","DisplayName":"Blue Cross and Blue Shield of Illinois","Names":"BCBSIL|Blue Cross Blue Shield Illinois|Blue Cross Blue Shield of Illinois|Blue Cross and Blue Shield of Illinois - Medicare Advantage|BlueCross BlueShield of Illinois|HCSC|Health Care Service Corporation","Aliases":"00621|10033|1405|5508|BCBSIL|BCMIW|CB621|G00621|ILBCBS|ILBLS|SB621","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"AZ|FL|IL|IN|NV|OK","Programs":"COMMERCIAL|MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"DKCAG","ParentPayerGroupName":"Health Care Service Corporation","WebsiteUrl":"https://www.bcbsil.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VESYH","PrimaryPayerId":"47163","DisplayName":"Blue Cross and Blue Shield of Kansas","Names":"BCBSKS|Blue Cross Blue Shield Kansas|Blue Cross Blue Shield Kansas (HMO FEP)|Blue Cross Blue Shield Kansas (HMO REGULAR)|Blue Cross Blue Shield Kansas (HMO SENIOR PLAN)|Blue Cross Blue Shield of Kansas|Blue Cross and Blue Shield of Kansas - Medicare Advantage","Aliases":"10034|2422|47163|4716B|5519|CBKS1|KSBCBS|SB650|SB650MA|ZP4644","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"48-0952857","CoverageTypes":"dental|medical|vision","OperatingStates":"KS","Programs":"COMMERCIAL|MEDICARE","PtanRequired":"false","ParentPayerGroupId":"NTUAC","ParentPayerGroupName":"Blue Cross Blue Shield of Kansas","WebsiteUrl":"https://www.bcbsks.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OKDNG","PrimaryPayerId":"47171","DisplayName":"Blue Cross and Blue Shield of Kansas City","Names":"Blue Cross Blue Shield of Kansas City|Blue KC","Aliases":"10473|4419|47171|5569|DX067|KCBCBS|KCBLS|KSBLS|SB740|SB740MA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"MO","Programs":"COMMERCIAL|MEDICARE","PtanRequired":"false","ParentPayerGroupId":"WFDSQ","ParentPayerGroupName":"Blue Cross Blue Shield of Kansas City","WebsiteUrl":"https://www.bluekc.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WLKCN","PrimaryPayerId":"00720","DisplayName":"Blue Cross and Blue Shield of Minnesota","Names":"BCBSMN|Blue Cross Blue Shield of Minnesota - Commercial and Medicare|Blue Cross and Blue Shield of Minnesota - Medicare Advantage|Central States Trucking Association Comprehensive Care Services|Comprehensive Care Service (CCSTPA)","Aliases":"00720|00722|10039|12B16|1402|1410|1429|1513|220|720|BXMN1|CBMN1|CBMNU|MNBLS|PUFBY|QJZST|SB720|SB720MA|SB721|TLU22|UAKJM","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"MN","Programs":"COMMERCIAL|MEDICARE","PtanRequired":"false","ParentPayerGroupId":"BKXRU","ParentPayerGroupName":"Blue Cross Blue Shield of Minnesota","WebsiteUrl":"https://www.bluecrossmn.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AGBDX","PrimaryPayerId":"00230","DisplayName":"Blue Cross and Blue Shield of Mississippi","Names":"BCBS Mississippi|Blue Cross Blue Shield Mississippi","Aliases":"00230|100041|10040|2415|5555|5561|BCMS|CBMS1|MSBCBS|MSBLS|SB730|SB732|TBS03","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"true","DentalClaimEnrollmentType":"MULTI_STEP","DentalClaimEnrollmentTimeframe":"WEEKS","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"MS","Programs":"COMMERCIAL|MEDICARE","PtanRequired":"false","ParentPayerGroupId":"JCSKZ","ParentPayerGroupName":"Mississippi Insurance Group","WebsiteUrl":"https://www.bcbsms.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DBFST","PrimaryPayerId":"G00751","DisplayName":"Blue Cross and Blue Shield of Montana","Names":"BCBSMT|Blue Cross Blue Shield Montana|Blue Cross and Blue Shield of Montana - Medicare Advantage|BlueCross BlueShield of Montanta","Aliases":"00751|10516|5585|7450|BCBSMT|CBMT1|G00751|MTBCBS|MTBLS|TLU06","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"MT","Programs":"COMMERCIAL|MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.bcbsmt.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OIAZC","PrimaryPayerId":"77780","DisplayName":"Blue Cross and Blue Shield of Nebraska","Names":"Blue Cross Blue Shield Nebraska|Blue Cross Nebraska|Blue Cross and Blue Shield of Nebraska - Medicare Advantage|Blue Shield Nebraska|Blue Shield Nebraska Medicare Advantage Plan|BlueCross BlueShield Nebraska|Nebraska Blue","Aliases":"00260|00760|100043|10384|1417|1521|470095156|77780|BCNEC|CBNE1|NEBCBS|NEBLS|SB760|SB760MA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"NE","Programs":"COMMERCIAL|MEDICARE","PtanRequired":"false","ParentPayerGroupId":"PYIWE","ParentPayerGroupName":"Blue Cross Blue Shield of Nebraska Group","WebsiteUrl":"https://www.nebraskablue.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UDVWS","PrimaryPayerId":"00790","DisplayName":"Blue Cross and Blue Shield of New Mexico","Names":"BCBSNM|Blue Cross Blue Shield New Mexico|Blue Cross Blue Shield of New Mexico|Blue Cross Community Centennial|Blue Cross and Blue Shield of New Mexico - Medicare Advantage","Aliases":"00790|10042|5565|7403|790|84100|G00790|NMBCBS|NMBLS|SB790|SB790MA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"NM","Programs":"COMMERCIAL|MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.bcbsnm.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QDTRP","PrimaryPayerId":"84980","DisplayName":"Blue Cross and Blue Shield of Texas","Names":"BCBSTX|Blue Cross Blue Shield Texas Medicaid STAR CHIP|Blue Cross Blue Shield Texas Medicaid STAR Children's Health Insurance Program|Blue Cross Blue Shield of Texas|Blue Cross and Blue Shield of Texas - Medicare Advantage|BlueCross Blue Shield of Texas|Bryan Independent School|Federal Employee Program Texas (FEP)|Health Maintenance Organization Blue|Health Maintenance Organization Blue Texas|Healthcare Benefits|Rio Grande|Walmart (BlueCard Carriers)","Aliases":"00021|10048|1406|5501|84980|CB900|DX900|G84980|HCSVC|SB900|TXBCBS|TXBLS","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"CT|IL|NM|TX|UT","Programs":"COMMERCIAL|MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"DKCAG","ParentPayerGroupName":"Health Care Service Corporation","WebsiteUrl":"https://www.bcbstx.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BIUKV","PrimaryPayerId":"BCBSVT","DisplayName":"Blue Cross and Blue Shield of Vermont","Names":"Blue Cross Blue Shield Vermont|Blue Cross Blue Shield of Vermont","Aliases":" BCBSVT|10624|12B32|4967|7493|BCBSVT|SB915|VTBCBS|VTBLS","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"VT","Programs":"COMMERCIAL|MEDICARE","PtanRequired":"false","ParentPayerGroupId":"BKGHK","ParentPayerGroupName":"Blue Cross Blue Shield of Vermont Group","WebsiteUrl":"https://www.bluecrossvt.org","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PMZIR","PrimaryPayerId":"BCAFD","DisplayName":"Blue Cross Blue Shield FEP BlueDental","Names":"Blue Cross and Blue Shield Federal Employee Program|DeCare FEP Dental","Aliases":"BCAFD|ZP281","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.fepblue.org","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SXFQO","PrimaryPayerId":"72107","DisplayName":"Blue Cross Blue Shield Louisiana Blue Advantage","Names":"Blue Advantage of Louisiana|Blue Cross Blue Shield of Louisiana","Aliases":"12B12|14328|5008|53021|72107|72107MA|8853|LABADV","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"LA","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://blueadvantage.lablue.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KHTHB","PrimaryPayerId":"62179","DisplayName":"Blue Cross Blue Shield of Arizona Health Choice","Names":"AZ Blue|Arizona Blue|BCBSAZ|BCBSAZ Health Choice|HealthChoice Arizona|Healthchoice of AZ","Aliases":"10092|2930|3232|62179|AZHLCH","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"AZ","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.azblue.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WBGXU","PrimaryPayerId":"62180","DisplayName":"Blue Cross Blue Shield of Arizona Health Choice Pathway","Names":"BCBSAZ|Health Choice Generations|Health Choice Pathway","Aliases":"4878|62180|8985|HCGEN|HCHGN","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"AZ","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.azblue.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EWDCI","PrimaryPayerId":"700","DisplayName":"Blue Cross Blue Shield of Massachusetts","Names":"BCBS Massachusetts|BCBSMA|Blue Cross Blue Shield Massachusetts|Blue Cross Blue Shield of Massachusetts|Blue Cross Blue Shield of Massachusetts - Medicare Advantage","Aliases":"00139|00200|10037|12B14|2424|5528|700|BS059|CBMA1|MABCBS|MABLS|SB700|SB700MA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"MA|NH","Programs":"COMMERCIAL|MEDICARE","PtanRequired":"false","ParentPayerGroupId":"DKVAO","ParentPayerGroupName":"Blue Cross Blue Shield of Massachusetts","WebsiteUrl":"https://www.bluecrossma.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KRPCH","PrimaryPayerId":"00710","DisplayName":"Blue Cross Blue Shield of Michigan","Names":"BCBSM Healthy Kids Dental (DentaQuest)|Blue Care Network (BCBSM MA/BNCA - Medicare Advantage)|Blue Cross Blue Shield Michigan Dental|Blue Cross Blue Shield Michigan Institutional|Blue Cross Blue Shield Michigan Professional|Blue Cross Blue Shield of Michigan - Medicare Advantage|Blue Cross Blue Shield of Michigan and Blue Care Network","Aliases":"00210|00210I|00710|00710D|00710P|10038|10519|12B18|1421|1913|2145|2287|2426|3514|3531|3532|710|BBMDQ|BCBSM|BCMIC|BCMIH|BCMIV|CBMI1|GFXLJ|MIBCN|MIBCSI|MIBCSP|MIBLS|MIFEP|SB710|UQVGL|Z1380","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"AL|AK|AZ|AR|CA|CO|CT|DE|FL|GA|HI|ID|IL|IN|IA|KS|KY|LA|ME|MD|MA|MI|MN|MS|MO|MT|NE|NV|NH|NJ|NM|NY|NC|ND|OH|OK|OR|PA|SC|SD|TN|TX|UT|VT|VA|WA|WI|DC","Programs":"COMMERCIAL|MEDICARE","PtanRequired":"false","ParentPayerGroupId":"AWOCR","ParentPayerGroupName":"Blue Cross Blue Shield of Michigan Group","WebsiteUrl":"https://www.bcbsm.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KLBLK","PrimaryPayerId":"00726","DisplayName":"Blue Cross Blue Shield of Minnesota Blue Plus Medicaid","Names":"BCBSMN Blue Plus Medicaid|Blue Cross and Blue Shield of Minnesota|MHCP","Aliases":"00562|00726|1064|12259|7892|MNHCP|Z96439|Z96439MA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"MN","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.bluecrossmn.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AWBDZ","PrimaryPayerId":"55891","DisplayName":"Blue Cross Blue Shield of North Dakota","Names":"BCBSND|Blue Cross Blue Shield North Dakota|Blue Cross Blue Shield of North Dakota - Medicare Advantage|Blue Cross ND (North Dakota Dental Service)","Aliases":"00820|10478|12B78|2411|55891|5593|CX004|NDBCBP|NDBLS|SB820","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"ND","Programs":"COMMERCIAL|MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.bcbsnd.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XVMEF","PrimaryPayerId":"53767","DisplayName":"Blue Cross Blue Shield of Wyoming","Names":"BCBSWY|Blue Cross Blue Shield Wyoming|Blue Cross Blue Shield of Wyoming - Medicare Advantage","Aliases":"10480|3584|53767|7489|SB960|TLX12|WYBCBP|WYBLS|ZP5618","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"WY","Programs":"COMMERCIAL|MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.bcbswy.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XOFIC","PrimaryPayerId":"00840","DisplayName":"Blue Cross Blue Shield Oklahoma","Names":"Blue Cross Blue Shield Oklahoma - Medicare Advantage","Aliases":"00840|10582|1403|1514|840|G00840|OKBCBS|OKBLS|SB840|TBOK1","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"OK","Programs":"COMMERCIAL|MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.bcbsok.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RQBXK","PrimaryPayerId":"SX168","DisplayName":"Blue Cross Blue Shield Pennsylvania BlueCard Par Point Services (POS)","Names":"Blue Cross Blue Shield Pennsylvania BlueCard PAR Point Services (POS)","Aliases":"SX168","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"ONE_CLICK","EligibilityInquiryEnrollmentTimeframe":"DAYS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"PA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.highmark.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YASVY","PrimaryPayerId":"31478","DisplayName":"Blue Cross Blue Shield Preferred Health Professionals (BCBSKC)","Names":"Blue Cross Blue Shield Preferred Health Professionals (Blue Cross Blue Shield Kansas City)|Preferred Health Professionals","Aliases":"1912|31478|4452","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"KS|MO","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://phpkc.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XWULR","PrimaryPayerId":"SB731","DisplayName":"Blue Cross Blue Shield State and School Employees","Names":"Blue Cross Blue Shield Mississippi State and Teacher Employees'|Blue Cross Blue Shield of Mississippi State Employees|State and School Employees' Health Insurance","Aliases":"10142|12B82|SB731|XSEHP","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"ONE_CLICK","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"MS","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.bcbsms.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GSYIR","PrimaryPayerId":"HCSV2","DisplayName":"Blue Cross Blue Shield Texas Medicaid STAR CHIP","Names":"Blue Cross Blue Shield Texas Medicaid STAR Children's Health Insurance Program|Blue Cross Blue Shield Texas Medicaid State of Texas Access Reform Children's Health Insurance Program","Aliases":"11196|66001|66002|7299|9624|HCSV2","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"TX","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.bcbstx.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ACFNZ","PrimaryPayerId":"GNMMD1","DisplayName":"Blue Cross Community Centennial","Names":"Blue Cross Community Centennial - Turquoise|Blue Cross Community Centennial - Turquoise Care|Blue Cross and Blue Shield of New Mexico|Health Care Service Corporation","Aliases":"1243|14296|4570|GNMMD1|MC721","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"NM","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"DKCAG","ParentPayerGroupName":"Health Care Service Corporation","WebsiteUrl":"https://www.bcbsnm.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HKALQ","PrimaryPayerId":"66012","DisplayName":"Blue Cross Community Health Plans","Names":"BCCHP|Blue Cross Community Health Plans|Blue Cross Community Options|Blue Cross and Blue Shield of Illinois|Health Care Service Corporation","Aliases":"11183|66005|66012|7165|8606|GKTYD|MCDIL|MCIL2","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"IL","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.bcbsil.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WFJVY","PrimaryPayerId":"KPJVHL","DisplayName":"Blue Cross Complete (KP) - JVHL","Names":"Blue Cross Complete (KP) - Joint Venture Hospital Laboratory","Aliases":"1255|12550|4587|KPJVHL|KPJVL","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"ONE_CLICK","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"ONE_CLICK","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SPWHX","PrimaryPayerId":"32002","DisplayName":"Blue Cross Complete of Michigan","Names":"BC Michigan Complete|Blue Cross Blue Shield Michigan Dental|Blue Cross Blue Shield of Michigan|Blue Cross Blue Shield of Michigan Complete","Aliases":"00464|32002|38206|382069753|46090|5096|7409|7771M|BCCMI|BCMID","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"MI","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"AWOCR","ParentPayerGroupName":"Blue Cross Blue Shield of Michigan Group","WebsiteUrl":"https://www.mibluecrosscomplete.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CJRPM","PrimaryPayerId":"12B84","DisplayName":"Blue Cross Idaho (True Blue)","Names":"Blue Cross of Idaho True Blue","Aliases":"12B84|TRUEB","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"ID","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.bcidaho.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FKAVK","PrimaryPayerId":"66006","DisplayName":"Blue Cross Medicare Advantage","Names":"Blue Cross Illinois Medicare Advantage|Blue Cross Medicare Advantage|Blue Cross Medicare Advantage HMO|Blue Cross Medicare Advantage PPO|Blue Cross Montana Medicare Advantage|Blue Cross New Mexico Medicare Advantage|Blue Cross Oklahoma Medicare Advantage|Blue Cross Texas Medicare Advantage","Aliases":"11174|1167|2513|66006|BLMADV|HMAPD","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"NATIONAL","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.bcbs.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UPICO","PrimaryPayerId":"BCSNC","DisplayName":"Blue Cross NC","Names":"BCBSNC|BCBSNC ASO|Blue Cross Blue Shield North Carolina|Blue Cross Blue Shield of North Carolina|Blue Cross NC - Medicare Advantage|Blue Cross NC – Dental Blue|Partners National Health Plans of North Carolina Inc","Aliases":"10383|12B23|1411|3562|560894904|61472|61473|BCSNC|NCBCBS|NCBLS|NCPNHP|SB810|SB810MA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"SUPPORTED","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"56-0894904","CoverageTypes":"dental|medical|vision","OperatingStates":"NC","Programs":"","PtanRequired":"false","ParentPayerGroupId":"OVWIG","ParentPayerGroupName":"Blue Cross Blue Shield of North Carolina","WebsiteUrl":"https://www.bluecrossnc.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WCRPZ","PrimaryPayerId":"61474","DisplayName":"Blue Cross NC - Dental Blue Select","Names":"BCBSNC|Blue Cross and Blue Shield of North Carolina|Dental Blue Select","Aliases":"61474|9122|CX093","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"NC","Programs":"","PtanRequired":"false","ParentPayerGroupId":"OVWIG","ParentPayerGroupName":"Blue Cross Blue Shield of North Carolina","WebsiteUrl":"https://www.bluecrossnc.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HAOYV","PrimaryPayerId":"BLUEC","DisplayName":"Blue Cross of Idaho","Names":"Blue Cross Idaho Health Services Incorporated|Blue Cross of Idaho|Blue Cross of Idaho - Medicare Advantage|Blue Cross of Idaho Health Service|Blue Cross of Idaho Medicare Advantage","Aliases":"00610|10638|5582|7430|820344294|BCIDC|BLUEC|CBID1|IDBLC|IDBLCB|IDBLS|INZEH|SB612|ZBID0|ZBID0MA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"ID","Programs":"COMMERCIAL|MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"NSLKB","ParentPayerGroupName":"Blue Cross of Idaho","WebsiteUrl":"https://www.bcidaho.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JLWVN","PrimaryPayerId":"12B07","DisplayName":"Blue Cross of Idaho Federal Employees Program","Names":"Blue Cross of Idaho FEP","Aliases":"12B07","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"ID","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.bcidaho.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JYIRG","PrimaryPayerId":"00772","DisplayName":"Blue Medicare Advantage","Names":"Group Retiree Health Solutions, Inc.","Aliases":"00772|6013|772|9162|BMADV","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"VJLBL","ParentPayerGroupName":"Anthem","WebsiteUrl":"https://www.bluemedadvgrhs.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NANSH","PrimaryPayerId":"56152","DisplayName":"Blue Medicare PPO/HMO of North Carolina","Names":"Medicare Blue HMO PPO","Aliases":"56152|7472|7514","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.bluecrossnc.com/providers/networks-programs/blue-medicare","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CJSFM","PrimaryPayerId":"R3464","DisplayName":"Blue Ridge Independence at Home PACE","Names":"Blue Ridge Independence at Home Program of All-Inclusive Care for the Elderly","Aliases":"1906|2152|R3464","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"VA","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://brih.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JDGWJ","PrimaryPayerId":"100935","DisplayName":"Blue Shield of California","Names":"Blue Shield of California - Medicare Advantage","Aliases":"10053|100935|1409|6569|8855|94036|940360524|BS001|BSCA1|CABLS|CABS|SB542|SB542MA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"OVER_4_WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"AZ|CA|HI|ID|MT|NV|OR|SD|TX|UT|WA","Programs":"COMMERCIAL|MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"ZWUEB","ParentPayerGroupName":"Blue Shield of California Group","WebsiteUrl":"https://www.blueshieldca.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TFQPN","PrimaryPayerId":"BSCA2","DisplayName":"Blue Shield of California - Federal","Names":"","Aliases":"BSCA2","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UVPCB","PrimaryPayerId":"94032","DisplayName":"Blue Shield of California HMO Encounters","Names":"","Aliases":"3050|4463|94032","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RUXYX","PrimaryPayerId":"BSC","DisplayName":"Blue Shield of California Home Infusion Therapy","Names":"","Aliases":"5460|BSC","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.blueshieldca.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ABWPR","PrimaryPayerId":"99105","DisplayName":"Blue Shield of California Medicare Advantage Encounters","Names":"","Aliases":"5009|99105","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.blueshieldca.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TAUOB","PrimaryPayerId":"C1SCA","DisplayName":"Blue Shield of California Promise Health Plan","Names":"Blue Shield California Promise Health Plan|California Physician’s Service","Aliases":"C1SCA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"OVER_4_WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"95-4468482","CoverageTypes":"dental|medical|vision","OperatingStates":"CA","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.blueshieldca.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WAIOY","PrimaryPayerId":"57115","DisplayName":"Blue Shield of California Promise Health Plan (Care1st Health Plan California)","Names":"Care1st Health Plan California","Aliases":"10973|1627|57115|57115MA|6114","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"CA","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.blueshieldca.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WXJKA","PrimaryPayerId":"CB865","DisplayName":"Blue Shield of Pennsylvania - Dental Plus","Names":"Blue Shield of Pennsylvania|Highmark","Aliases":"CB865|CBPA2|WCNBY","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"PA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://highmark.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QWKFU","PrimaryPayerId":"00922","DisplayName":"BlueChoice HealthPlan of South Carolina","Names":"Blue Choice South Carolina","Aliases":"00922|7428|922|BLCHHP|SB884","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"SC","Programs":"","PtanRequired":"false","ParentPayerGroupId":"DSISB","ParentPayerGroupName":"Blue Cross Blue Shield of South Carolina","WebsiteUrl":"https://www.bluechoicesc.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DCIYM","PrimaryPayerId":"00510BC","DisplayName":"BlueCross BlueShield of Alabama","Names":"BCBS Alabama|BCBSAL|Blue Cross Blue Shield Alabama|Blue Cross Blue Shield Alabama Institutional|Blue Cross Blue Shield Alabama Professional|Blue Cross and Blue Shield of Alabama|Blue Cross of Alabama|BlueCross BlueShield of Alabama - Medicare Advantage|Credence","Aliases":"00510|00510BC|00510BS|00510DN|1002|10025|10609|12B54|2423|5558|ALBCSP|ALBLC|ALBLS|CBAL1|SB510|SB510MA|Z96002","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"AL","Programs":"COMMERCIAL|MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.bcbsal.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NYNYD","PrimaryPayerId":"00401","DisplayName":"BlueCross BlueShield of South Carolina","Names":"Blue Cross Blue Shield South Carolina|Blue Cross Blue Shield of South Carolina|BlueCross BlueShield State Employees Health Plan|BlueCross BlueShield of South Carolina - Medicare Advantage|Medicare Preferred Provider Organizations (PPO)","Aliases":"00401|100054|10047|12B55|1559|2410|315|38520|401|570287419|886|BCSCC|BCSSC|C63|SB880|SB880MA|SC315|SC886|SCBCBS|SCBLS|Z1036","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"OVER_4_WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"SC","Programs":"","PtanRequired":"false","ParentPayerGroupId":"DSISB","ParentPayerGroupName":"Blue Cross Blue Shield of South Carolina","WebsiteUrl":"https://www.southcarolinablues.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"ONE_CLICK","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VKABT","PrimaryPayerId":"00402","DisplayName":"BlueCross BlueShield of South Carolina Federal Employee Program","Names":"Blue Cross Blue Shield South Carolina Federal Employee Program","Aliases":"00402|402|SB882|SC402","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"SC","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.southcarolinablues.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OANFC","PrimaryPayerId":"00C63","DisplayName":"BlueCross BlueShield of South Carolina Medicare Blue","Names":"BlueCross BlueShield of South Carolina Medicare Advantage","Aliases":"00C63|2857|7997|SB894","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"SC","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.southcarolinablues.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VWGUD","PrimaryPayerId":"00886","DisplayName":"BlueCross BlueShield of South Carolina Planned Administrators, Inc.","Names":"","Aliases":"00886|3858|9078|SB883","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"SC","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.southcarolinablues.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EHMAH","PrimaryPayerId":"400","DisplayName":"BlueCross BlueShield of South Carolina State Health Plan","Names":"","Aliases":"00400|400|SB881|SC400|SC922","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"SC","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.southcarolinablues.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EZKYS","PrimaryPayerId":"SB890","DisplayName":"BlueCross BlueShield of Tennessee","Names":"BCBS Tennessee|BCBSTN|Blue Cross Blue Shield of Tennessee|BlueCross BlueShield of Tennessee - Medicare Advantage","Aliases":"00390|00890|10430|2401|5513|5513I|890|CBTN1|SB890|SB890MA|SB892|SKTN2|TNBCBS|TNBLS","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"true","DentalClaimEnrollmentType":"ONE_CLICK","DentalClaimEnrollmentTimeframe":"WEEKS","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"TN","Programs":"COMMERCIAL|MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"HBROI","ParentPayerGroupName":"Blue Cross Blue Shield of Tennessee","WebsiteUrl":"https://www.bcbst.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MPOJX","PrimaryPayerId":"SB891","DisplayName":"BlueCross BlueShield of Tennessee (Chattanooga HMO Plans)","Names":"BCBS Tennessee HMO|Blue Cross Blue Shield Tennessee (Chattanooga HMO Plans)","Aliases":"SB891","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"TN","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.bcbst.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LECHY","PrimaryPayerId":"55026","DisplayName":"BlueLink TPA","Names":"IBX|Independence Blue Cross|QCC Insurance Company","Aliases":"55026","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ibx.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SMYBV","PrimaryPayerId":"BLRDE","DisplayName":"BlueRide Non-Emergency Transportation","Names":"Blue Cross and Blue Shield of Minnesota|BlueRide NEMT|MHCP","Aliases":"8723|BLRDE","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"MN","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.bluecrossmn.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WLJQW","PrimaryPayerId":"BLSTM","DisplayName":"Bluestem PACE","Names":"","Aliases":"BLSTM","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"KS","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://bluestempace.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LYNXT","PrimaryPayerId":"J1258","DisplayName":"BMW Manufacturing Corporation","Names":"","Aliases":"J1258","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RQTCO","PrimaryPayerId":"J1259","DisplayName":"BMW North America","Names":"","Aliases":"J1259","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.bmwusa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YMPJI","PrimaryPayerId":"36609","DisplayName":"Boilermakers National Funds","Names":"Boilermakers National Health and Welfare","Aliases":"2591|36609|6425","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.bnf-kc.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XEKEF","PrimaryPayerId":"J1801","DisplayName":"Boise Cascade Company","Names":"","Aliases":"J1801","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TCGFZ","PrimaryPayerId":"BOLD1","DisplayName":"BoldAge PACE","Names":"Valley PACE","Aliases":"2873|8585|BOLD1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://boldagepace.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VDFQO","PrimaryPayerId":"BOLL1","DisplayName":"Bollinger Incorporated","Names":"RPS Bollinger Sports & Leisure","Aliases":"4110|6992|BOLL1|DX057|RGXKV","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.rpsbollinger.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SFKUB","PrimaryPayerId":"74238","DisplayName":"Boon-Chapman","Names":"Boon Chapman Benefit Administrators|Boon-Chapman|Boon-Chapman Benefit Administrators","Aliases":"101043|10414|1777|74237|74238|8500|BNCHAP|QMLHS|RMKPC","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://boonchapman.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RYJYD","PrimaryPayerId":"04210","DisplayName":"Boston University Dental Health Plan","Names":"","Aliases":"04210","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"MA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.bu.edu","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DQKAC","PrimaryPayerId":"18768","DisplayName":"Boulder Administration Services","Names":"","Aliases":"00085|18768|7007|9289","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CO","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.boulderadmin.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OMZAL","PrimaryPayerId":"19753","DisplayName":"BPA - Hylton Payroll ","Names":"Benefit Plan Administrators","Aliases":"1217|19753|4511","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://bpatpa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LWYKG","PrimaryPayerId":"67707","DisplayName":"BPS First Health","Names":"","Aliases":"67707","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NCMXZ","PrimaryPayerId":"BSN01","DisplayName":"Brain & Spine Network Center of Excellence","Names":"Baptist Memorial Health Care|Brain and Spine Network|Semmes Murphey Clinic","Aliases":"8051|9769|BSN01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.baptistonline.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ANSCU","PrimaryPayerId":"84367","DisplayName":"Braven Health","Names":"","Aliases":"14321|5000|84367|84367MA|8844|BRAVEN","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"NJ","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://bravenhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WLBUN","PrimaryPayerId":"BRKPNT","DisplayName":"BreckPoint","Names":"","Aliases":"6033|9185|BRKPN|BRKPNT","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.breckpoint.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YDMUX","PrimaryPayerId":"CB007","DisplayName":"Brentwood Services Administrators","Names":"","Aliases":"8001|9714|CB007","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://bwood.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XYHON","PrimaryPayerId":"J1761","DisplayName":"BrickStreet Insurance","Names":"","Aliases":"J1761","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HZSQR","PrimaryPayerId":"BRIDG","DisplayName":"BridgeSpan Health","Names":"BridgeSpan","Aliases":"10827|6675|6779|BDSPH|BRIDG","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"ID|OR|UT|WA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"ZLVTI","ParentPayerGroupName":"Regence Blue Cross Blue Shield","WebsiteUrl":"https://www.bridgespanhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JELPM","PrimaryPayerId":"FS802","DisplayName":"Bridgeview","Names":"","Aliases":"6165|FS802","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"MN","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://bridgeview.bluecrossmn.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GQWUB","PrimaryPayerId":"BRGHT","DisplayName":"Bright Healthcare","Names":"Bright Healthcare","Aliases":"8229|9269|9680|BHP01|BRGHT|BRIGHT|BRT01|CB186|EXQBN|MPVLH","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YIVRU","PrimaryPayerId":"J1764","DisplayName":"Bristol West","Names":"","Aliases":"J1764","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PJXPH","PrimaryPayerId":"BBS19","DisplayName":"Britton Benefit Services","Names":"","Aliases":"3007|8255|BBS19","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://bbstpa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TFPVB","PrimaryPayerId":"99320","DisplayName":"BRMS","Names":"Benefit and Risk Management Services","Aliases":"16761|7136|7681|99320","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.brmsonline.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LYLHU","PrimaryPayerId":"TP021","DisplayName":"Broadspire","Names":"","Aliases":"TP021","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.choosebroadspire.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WQLQV","PrimaryPayerId":"WQLQV","DisplayName":"Broadspire – Workers Compensation","Names":"Broadspire (WC)|Crawford and Company","Aliases":"WQLQV","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NDWMQ","PrimaryPayerId":"CX032","DisplayName":"Brokers National","Names":"","Aliases":"10783|CX032","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LJCQS","PrimaryPayerId":"BIPAZ","DisplayName":"Brookshire IPA","Names":"","Aliases":"7132|BIPAZ","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"ONE_CLICK","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ENLKR","PrimaryPayerId":"J1445","DisplayName":"Brotherhood Mutual Insurance","Names":"","Aliases":"J1445","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YUETH","PrimaryPayerId":"FLBPP","DisplayName":"Broward PACE Program","Names":"Florida PACE Broward County","Aliases":"3775|9048|FLBPP","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"FL","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.browardpaceprogram.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KCVKX","PrimaryPayerId":"37301","DisplayName":"Brown & Brown","Names":"Brown and Brown|Summit America Insurance Services, Inc","Aliases":"00433|11073|37301","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://us.bbrown.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YFNXC","PrimaryPayerId":"BTHS1","DisplayName":"Brown & Toland Health Services","Names":"Altais|Brown and Toland Health Services","Aliases":"1750|6867|7645|BTHS1","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://altais.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FKPDX","PrimaryPayerId":"94316","DisplayName":"Brown and Toland Medical Group","Names":"Altais","Aliases":"1289|6547|94316","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://altais.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RIQZL","PrimaryPayerId":"11150","DisplayName":"Brownyard Group Incorporated (Arch Insurance)","Names":"","Aliases":"11150","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://brownyard.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"APNHC","PrimaryPayerId":"J1032","DisplayName":"Brunswick Corporation","Names":"","Aliases":"J1032","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.brunswick.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IEZMS","PrimaryPayerId":"25916","DisplayName":"BSI Companies","Names":"","Aliases":"2195|25916","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://bsicompanies.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EVODN","PrimaryPayerId":"0004202","DisplayName":"Buckeye Health Plan","Names":"Buckeye Health Plan Medicaid Behavioral Health|Buckeye Health Plan Medicaid Medical|Buckeye Health Plan Medicaid Vision|Buckeye Ohio Medicaid|Centene Ohio Medicaid Managed Care Entity","Aliases":"0004202|42020|7068|9457|SKOH3","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"OH","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.buckeyehealthplan.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KMYTK","PrimaryPayerId":"BVAP1","DisplayName":"Buena Ventura Affiliated Physicians Inc","Names":"Buenaventura Affiliated Physicians","Aliases":"3439|8982|BVAP1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://buenaventuraipa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NWTXG","PrimaryPayerId":"J1501","DisplayName":"Buffets Incorporated Country Buffet","Names":"Buffets Incorporated Fire Mountain|Buffets Incorporated Granny's Buffet|Buffets Incorporated Hometown Buffet|Buffets Incorporated Old Country Buffet|Buffets Incorporated Ryan's","Aliases":"J1501","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CMEUM","PrimaryPayerId":"J1391","DisplayName":"Builders Group of Minnesota","Names":"","Aliases":"J1391","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FOEUF","PrimaryPayerId":"J1435","DisplayName":"Bunch and Associates","Names":"","Aliases":"J1435","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZWEOB","PrimaryPayerId":"BOPMC","DisplayName":"Bureau of Prisons","Names":"","Aliases":"BOPMC","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NATIONAL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.bop.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KPGIH","PrimaryPayerId":"J1033","DisplayName":"Burlington Coat Factory Warehouse","Names":"","Aliases":"J1033","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PMADJ","PrimaryPayerId":"49984","DisplayName":"Business Administrators & Consultants","Names":"","Aliases":"00389|16693|3496|49984|9019|DX090","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://bactpa.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CYCUH","PrimaryPayerId":"61301","DisplayName":"Businessmen's Assurance (Nebraska)","Names":"","Aliases":"61301","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MCKTA","PrimaryPayerId":"12090","DisplayName":"Bywater","Names":"Roundstone","Aliases":"12090|6024|9171","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://choosebywater.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OMQTI","PrimaryPayerId":"23708","DisplayName":"C and O Employees’ Hospital Association","Names":"C and O Employees Hospital Association|COEHA","Aliases":"00131|10997|23708|2850|5027","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://coeha.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EUSAV","PrimaryPayerId":"HM006","DisplayName":"California Care Encounters","Names":"","Aliases":"HM006","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WZLKZ","PrimaryPayerId":"J3968","DisplayName":"California Casualty","Names":"California Casualty","Aliases":"J3968","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BRJGI","PrimaryPayerId":"IP059","DisplayName":"California Clinical Research Emphasis Humboldt Del Norte","Names":"California CRE Humboldt Del Norte","Aliases":"IP059","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CWUBQ","PrimaryPayerId":"NCH05","DisplayName":"California Eye Care New Century Health","Names":"New Century Health","Aliases":"5292|NCH000001|NCH05","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.evolent.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OHVKI","PrimaryPayerId":"J1535","DisplayName":"California Fair Services Authority","Names":"","Aliases":"J1535","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cfsa.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GXSZD","PrimaryPayerId":"06014","DisplayName":"California Home Health And Hospice (Medicare California Part A)","Names":"HH+H Region D|Noridian (NHS) - California","Aliases":"06014|1947","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"CA","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RWXPY","PrimaryPayerId":"CTPL1","DisplayName":"California Independent Practice Association","Names":"","Aliases":"2063|8203|AMM14|CTPL1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ASMRH","PrimaryPayerId":"J1532","DisplayName":"California Insurance Guarantee Association (CIGA)","Names":"CIGA","Aliases":"J1532","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ciga.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IXYMA","PrimaryPayerId":"CKC01","DisplayName":"California Kids Care","Names":"","Aliases":"CKC01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RZENY","PrimaryPayerId":"94056","DisplayName":"California Pacific Medical Center","Names":"CPMC|Sutter Select","Aliases":"2056|6874|94056","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.sutterhealth.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BNGIM","PrimaryPayerId":"CALOP","DisplayName":"CalOptima","Names":"CalOptima Direct|CalOptima Health","Aliases":"059|101160|10972|2903|4221|5914|CALOP|CALOPMA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.caloptima.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NEKWE","PrimaryPayerId":"CALSC","DisplayName":"Calvos SelectCare","Names":"Calvo's SelectCare Insurance Inc.","Aliases":"4094|8835|CALSC","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"GU","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.calvos.net","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JVTPD","PrimaryPayerId":"J1819","DisplayName":"Cambridge Integrated Services","Names":"","Aliases":"J1819","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XNWKX","PrimaryPayerId":"25831","DisplayName":"Cameron Manufacturing and Design","Names":"","Aliases":"25831","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cameronmfg.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SUPZV","PrimaryPayerId":"CLFM1","DisplayName":"Camp LeJeune Family Member Program","Names":"","Aliases":"7146|7692|CLFM1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NATIONAL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://department.va.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZTGYA","PrimaryPayerId":"71057","DisplayName":"Canon Cochran Management Services Incorporated","Names":"Metairie Lousiana","Aliases":"4908|5832|71057","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ccmsi.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YKIYE","PrimaryPayerId":"15821","DisplayName":"Canopy Health","Names":"Cap Management|Conifer Health Solutions|MedPOINT Management","Aliases":"15821|3790|9056|CNPY1|MPM71","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.canopyhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JLPOS","PrimaryPayerId":"J1637","DisplayName":"Capistrano Unified School District (California)","Names":"","Aliases":"J1637","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KUHOB","PrimaryPayerId":"100952","DisplayName":"Capital Blue Cross of Pennsylvania","Names":"Capital Blue Cross Pennsylvania|Capital Blue Cross of Pennsylvania - Medicare Advantage","Aliases":"00361|100952|10325|12B61|23045|23045MA|24705|361|7705|CBC01|PABLC|PACAPB","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"DAYS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"true","ClaimStatusInquiryEnrollmentType":"MULTI_STEP","ClaimStatusInquiryEnrollmentTimeframe":"DAYS","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"DAYS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"DAYS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"PA","Programs":"COMMERCIAL|MEDICARE","PtanRequired":"false","ParentPayerGroupId":"INSKI","ParentPayerGroupName":"Capital Blue Cross","WebsiteUrl":"https://www.capbluecross.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DMADA","PrimaryPayerId":"95112","DisplayName":"Capital Health Plan","Names":"CHP|Capital Community Health Plan","Aliases":"13278|1985|4246|95112|95112, CAPTL|95112MA|CAPTAL","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"FL","Programs":"COMMERCIAL|MEDICARE","PtanRequired":"false","ParentPayerGroupId":"INGJR","ParentPayerGroupName":"Blue Cross Blue Shield of Florida","WebsiteUrl":"https://capitalhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PBQCS","PrimaryPayerId":"68011","DisplayName":"Capitol Administrators (Lucent Health)","Names":"GTESS|Lucent Health California","Aliases":"10903|17380|2810|2989|6797|68011|CX095|GRIJQ","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://lucenthealth.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FPFTH","PrimaryPayerId":"J1262","DisplayName":"Capitol Indemnity","Names":"","Aliases":"J1262","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MCBDU","PrimaryPayerId":"J1809","DisplayName":"Capitol Insurance Companies","Names":"","Aliases":"J1809","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HBGRL","PrimaryPayerId":"CAPHP","DisplayName":"CapRock Health Plans (90 Degree Benefits)","Names":"Caprock Health Plans ","Aliases":"10660|3654|5848|CAPHP|CAPROK","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://90degreebenefits.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YXDGA","PrimaryPayerId":"34242","DisplayName":"Captrue Benefits","Names":"","Aliases":"16606|34242|3884|9089|ZP5725","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://captruebenefits.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ARZKP","PrimaryPayerId":"GCVCP","DisplayName":"Cardiovascular Care Providers Incorporated (CVCP)","Names":"","Aliases":"4276|5553|GCVCP","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TX","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cvcpdocs.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NOCQV","PrimaryPayerId":"66010","DisplayName":"Care N' Care","Names":"Care N Care|Care N’ Care Insurance Company","Aliases":"14335|2013|66010|66010MA|8146|CAREN","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TX","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://cnchealthplan.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KZTUL","PrimaryPayerId":"41222","DisplayName":"Care to Care (Premier)","Names":"Care to Care","Aliases":"41222|7114|7671","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://premierinc.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QUSJX","PrimaryPayerId":"10981","DisplayName":"Care1st Health Plan Arizona","Names":"Arizona Complete Health|Care 1st Health Plan Arizona","Aliases":"10981","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"AZ","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"RZIUK","ParentPayerGroupName":"Centene Corporation Group","WebsiteUrl":"https://www.care1staz.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YFAUZ","PrimaryPayerId":"11345","DisplayName":"CareCentrix","Names":"","Aliases":"11345|11345MA|5266|7658","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.carecentrix.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WLSPZ","PrimaryPayerId":"11349","DisplayName":"CareCentrix Blue Cross Blue Shield Michigan","Names":"CareCentrix BCBSM","Aliases":"11349|9469","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.carecentrix.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BNWMW","PrimaryPayerId":"11346","DisplayName":"CareCentrix Fallon and MGBH ","Names":"CareCentrix Cigna|CareCentrix Fallon|CareCentrix Mass General Brigham Health","Aliases":"1016|11346|7839","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.carecentrix.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RWSCL","PrimaryPayerId":"11347","DisplayName":"CareCentrix Florida Blue","Names":"CareCentrix FL Blue","Aliases":"11347|11347MA|4042|8770","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"FL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.carecentrix.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IEYXU","PrimaryPayerId":"11348","DisplayName":"CareCentrix Horizon","Names":"","Aliases":"1017|11348|7840","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.carecentrix.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CXCIJ","PrimaryPayerId":"11350","DisplayName":"CareCentrix Wellcare","Names":"","Aliases":"11350|4016","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.carecentrix.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SLNDI","PrimaryPayerId":"14182","DisplayName":"CareCore National (Evicore)","Names":"CareCore National|Evernorth","Aliases":"14182|3894|4962","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"BDKOJ","ParentPayerGroupName":"Cigna","WebsiteUrl":"https://www.evicore.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UGAZI","PrimaryPayerId":"14180","DisplayName":"CareCore Oxford Radiology","Names":"","Aliases":"14180|1727|4964","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.evicore.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CUIGP","PrimaryPayerId":"31074","DisplayName":"CareFactor","Names":"EBMC|Employee Benefit Management Corporation","Aliases":"00051|2986|31074|3207","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://mycarefactor.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TGBJC","PrimaryPayerId":"CX025","DisplayName":"CareFactor","Names":"Big Lots Associates Benefit Plan|EBMC|Employee Benefit Management Corporation","Aliases":"4185|CX025","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://mycarefactor.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HWFOA","PrimaryPayerId":"75191","DisplayName":"CareFirst Administrators","Names":"CFA, LLC|National Claims Administrative Services Charlotte|National Claims Administrative Services Charlotte North Carolina","Aliases":"12273|3874|4943|75191|CFCHL","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"MD|VA|DC","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cfablue.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GBPZQ","PrimaryPayerId":"SB690","DisplayName":"CareFirst Blue Cross Blue Shield Maryland","Names":"Blue Cross Blue Shield of Maryland / Carefirst|CareFirst Blue Cross Blue Shield|CareFirst Blue Cross Blue Shield Maryland - Medicare Advantage","Aliases":"00190|00690|10095|10270|12011|190|2419|7518|MDBCBS|MDBLS|SB690|SB690MA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"DE|FL|MD|NC|PA|VA|WV|DC","Programs":"COMMERCIAL|MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"ABWFT","ParentPayerGroupName":"CareFirst Incorporated Group","WebsiteUrl":"https://provider.carefirst.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XJVLQ","PrimaryPayerId":"00580","DisplayName":"CareFirst Blue Cross Blue Shield Maryland - Dental","Names":"","Aliases":"00580|580","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"OVER_4_WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"DE|FL|MD|NC|PA|VA|WV|DC","Programs":"","PtanRequired":"false","ParentPayerGroupId":"ABWFT","ParentPayerGroupName":"CareFirst Incorporated Group","WebsiteUrl":"https://provider.carefirst.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OUVRH","PrimaryPayerId":"SB580","DisplayName":"CareFirst BlueCross BlueShield District of Columbia (NCA)","Names":"BCBS DC and National Capital Area|CareFirst Blue Cross Blue Shield","Aliases":"00080|11102|1509|2425|BCDCC|DCBCBS|DCBLS|SB580|SB580MA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"GA|DC","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.carefirst.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AOMEV","PrimaryPayerId":"45282","DisplayName":"CareFirst BlueCross BlueShield Medicare Advantage","Names":"CareFirst BCBS Medicare Advantage|University of Maryland Health Advantage","Aliases":"45282|45282MA|7487|9643","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"MD|VA|DC","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.carefirst.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SJXDK","PrimaryPayerId":"45281","DisplayName":"CareFirst Community Health Plan Maryland","Names":"CareFirst Blue Cross Blue Shield Community Health Plan Maryland|CareFirst BlueCross BlueShield Community Health Plan Maryland|Riverside Health Maryland|University of Maryland Health Partners Inc.","Aliases":"45281|45281MA|6647|6749","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"MD","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"ABWFT","ParentPayerGroupName":"CareFirst Incorporated Group","WebsiteUrl":"https://www.carefirst.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PZQKP","PrimaryPayerId":"ZP4124","DisplayName":"CareFirst Government","Names":"CareFirst Government","Aliases":"ZP4124","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://provider.carefirst.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SKRJG","PrimaryPayerId":"193","DisplayName":"CareFirst Medicare Advantage","Names":"CareFirst BlueCross BlueShield","Aliases":"193","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"MEDICARE_ADVANTAGE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://provider.carefirst.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VCYRW","PrimaryPayerId":"60601","DisplayName":"Careington Benefit Solutions","Names":"","Aliases":"60601","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.careingtonbenefitsolutions.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XVJPK","PrimaryPayerId":"80133","DisplayName":"Carelink","Names":"","Aliases":"80133","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WNPVH","PrimaryPayerId":"34010","DisplayName":"Carelon Aetna Home Health","Names":"Carelon Medical Benefits Management","Aliases":"3040|34010","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://providers.carelonmedicalbenefitsmanagement.com/postacute/provider-materials/aetna-provider-resources","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GRCMS","PrimaryPayerId":"34009","DisplayName":"Carelon Anthem Home Health","Names":"","Aliases":"34009|7250|8668","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://providers.carelonmedicalbenefitsmanagement.com/postacute/provider-materials/anthem-provider-resources/home-health","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SWTRT","PrimaryPayerId":"BHOVO","DisplayName":"Carelon Behavioral Health","Names":"Beacon Health Strategies|Elevance Health|ValueOptions Commercial","Aliases":"00813|11058|43324|4743|5909|BHOVO|CHCBH|CHIPA|EJEYL|VALOP|Z1226|ZP4032|ZP4170","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"54-1414194","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.carelonbehavioralhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VFUWF","PrimaryPayerId":"BHOTP","DisplayName":"Carelon Behavioral Health CA - CYBHI Program","Names":"","Aliases":"BHOTP","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://cybhi.carelonbehavioralhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QYJKS","PrimaryPayerId":"BHOPA","DisplayName":"Carelon Health of Pennsylvania","Names":"","Aliases":"2885|8089|BHOPA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"PA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"VJLBL","ParentPayerGroupName":"Anthem","WebsiteUrl":"https://providers.pa.carelon.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YSCPD","PrimaryPayerId":"CMENC","DisplayName":"Caremore Health - Advanced Primary Care","Names":"Carelon Health - Advanced Primary Care Encounters","Aliases":"CMENC","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.caremore.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JYMNM","PrimaryPayerId":"93975","DisplayName":"CareOregon","Names":"CareOregon Advantage|CareOregon Dental|CareOregon Medicaid|Jackson Care Connect|Verity","Aliases":"15533|2249|2551|93975|VMMH1|Z1060|Z1060MA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"OR","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.careoregon.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ASZGZ","PrimaryPayerId":"16307","DisplayName":"CarePartners of Connecticut","Names":"","Aliases":"16307|16307MA|2033|8170|ZP4006","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"CT","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"CNSWD","ParentPayerGroupName":"Harvard Pilgrim Health Care","WebsiteUrl":"https://www.carepartnersct.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LVFMN","PrimaryPayerId":"95092","DisplayName":"CarePlus","Names":"CarePlus Health Plans","Aliases":"10056|1682|2830|95092|95093|CAREPLUS|CRPLUS|NHC04","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"FL","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.careplushealthplans.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EZFMA","PrimaryPayerId":"CRSCK","DisplayName":"CareSource","Names":"Family Health Management","Aliases":"00325|10057|CRSCK|RP117|RP122","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"AR|GA|IN|KY|MI|NC|OH|WV","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WMPBE","PrimaryPayerId":"77170","DisplayName":"CareSource (Common Ground Healthcare Cooperative )","Names":"CGHC","Aliases":"12272|6674|6778|77170","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"WI","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.caresource.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WRUYL","PrimaryPayerId":"GACS1","DisplayName":"CareSource Georgia (Marketplace)","Names":"","Aliases":"1194|2570|CASGA|GACS1|GACS1MA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"GA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"XDBLI","ParentPayerGroupName":"CareSource Group","WebsiteUrl":"https://www.caresource.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UAVZY","PrimaryPayerId":"INCS1","DisplayName":"CareSource Indiana","Names":"CareSource Indiana Health Indiana Plan (Healthy Indiana Plan)|CareSource Indiana Hoosier Healthwise (HHW)|CareSource Indiana Marketplace|CareSource Indiana Medicare Advantage","Aliases":"7143|7688|CSRCIN|INCS1","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"IN","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"XDBLI","ParentPayerGroupName":"CareSource Group","WebsiteUrl":"https://www.caresource.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WYOWL","PrimaryPayerId":"KYCS1","DisplayName":"CareSource Kentucky","Names":"CareSource Humana|CareSource Kentucky|CareSource Kentucky Marketplace|CareSource Medicaid Kentucky|CareSource Medicare Advantage Kentucky","Aliases":"10920|5624|6259|CSRCKY|KYCS1|KYCS1MA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"KY","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.caresource.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QEVCP","PrimaryPayerId":"MVCS1","DisplayName":"Caresource Military and Veterans","Names":"CSMV|CareSource Military & Veterans |TRICARE Prime Demo","Aliases":"16705|1946|2226|MVCS1","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"FL|GA","Programs":"TRICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.caresource.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JYMBC","PrimaryPayerId":"NVCS1","DisplayName":"CareSource Nevada Marketplace","Names":"","Aliases":"16704|3767|9051|NVCS1","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"NV","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.caresource.com/nv/providers/welcome/marketplace","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EZUWU","PrimaryPayerId":"NVMD1","DisplayName":"CareSource Nevada Medicaid","Names":"","Aliases":"16703|3788|9054|NVCSM|NVMCDCS1|NVMD1","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"NV","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.caresource.com/nv/providers/welcome/medicaid","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EZVQN","PrimaryPayerId":"NCCS1","DisplayName":"CareSource North Carolina","Names":"","Aliases":"8009|9722|CSRCNC|NCCS1","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TLBZY","PrimaryPayerId":"MIMCDCS1","DisplayName":"CareSource of Michigan Medicaid","Names":"CareSource Michigan Marketplace","Aliases":"1772|2525|2891|8095|MICS1|MIMCDCS1|MIMD1","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"MI","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"XDBLI","ParentPayerGroupName":"CareSource Group","WebsiteUrl":"https://www.caresource.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QHVSU","PrimaryPayerId":"31114","DisplayName":"CareSource Ohio Marketplace","Names":"CareSource Dual-Eligible Special Needs Plan|CareSource Ohio|CareSource Ohio Community Transition Plan|CareSource Ohio Dual Eligible (MyCare)|CareSource Ohio Marketplace","Aliases":"00110|2526|31114|31114MA|3826|CKOH2|CRSROH","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"GA|OH","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.caresource.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ABHTY","PrimaryPayerId":"0003150","DisplayName":"CareSource Ohio Medicaid","Names":"CareSource Ohio Medicaid MCE|CareSource Ohio Medicaid Managed Care Entity","Aliases":"00031|0003150|03150|14383|7070|9458|CSDENMCD2|EJVIF|SKOH1|SKOH2|SKOH6","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"OH","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"XDBLI","ParentPayerGroupName":"CareSource Group","WebsiteUrl":"https://www.caresource.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LWRAN","PrimaryPayerId":"3150V","DisplayName":"CareSource Ohio Medicaid Vision","Names":"","Aliases":"3150V|7094|9708","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MOIGH","PrimaryPayerId":"ARCS1","DisplayName":"CareSource PASSE","Names":"CareSource Arkansas","Aliases":"00189|6099|9226|ARCS1|CSPAR","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"AR","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"XDBLI","ParentPayerGroupName":"CareSource Group","WebsiteUrl":"https://www.caresource.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JNHUG","PrimaryPayerId":"WVCS1","DisplayName":"CareSource West Virginia","Names":"West Virginia CareSource Marketplace","Aliases":"7263|8676|CSRCWV|WVCS1","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"XDBLI","ParentPayerGroupName":"CareSource Group","WebsiteUrl":"","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CQCBY","PrimaryPayerId":"10010","DisplayName":"CareWorks","Names":"CareWorks Consultants Incorporated (CareWorks USA and CCI)|Midwestern|Midwestern Insurance Alliance","Aliases":"00295|10010|3274","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.careworks.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZYZGX","PrimaryPayerId":"J1866","DisplayName":"Careworks Consultants Incorporated - Ohio only","Names":"CCI - Ohio only|Careworks USA - Ohio only","Aliases":"J1866","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PXENL","PrimaryPayerId":"J1931","DisplayName":"Carhartt","Names":"","Aliases":"J1931","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ALFOV","PrimaryPayerId":"33632","DisplayName":"Carisk Partners","Names":"Concordia Care Incorporated","Aliases":"33632|7137|7682","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cariskpartners.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZYGHJ","PrimaryPayerId":"J1932","DisplayName":"Carl Warren Carolina United National Labor","Names":"Carl Warren Universal Limousine Transportation","Aliases":"J1932","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UQJVP","PrimaryPayerId":"10762","DisplayName":"Carolina Care Plan, Inc. (CCP)","Names":"","Aliases":"10762","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XDCDI","PrimaryPayerId":"71499","DisplayName":"Carolina SeniorCare","Names":"Carolina SeniorCare PACE","Aliases":"2896|71499|8096","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NC","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://carolinaseniorcare.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ADUBW","PrimaryPayerId":"CWSTL","DisplayName":"Carpenters Benefit Plan","Names":"Carpenters Health And Welfare Trust Funds|Carpenters Health and Welfare Trust Fund of St Louis|Mid-America Carpenters Regional Benefit Services|Mid-America Carpenters Regional Council","Aliases":"11161|8846|CARHLT|CWSTL|TLW06","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://laborfunds.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZDPHB","PrimaryPayerId":"TFQ25","DisplayName":"Carpenters Combined Funds","Names":"","Aliases":"TFQ25","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.carpenterscombinedfunds.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JZSAE","PrimaryPayerId":"CHA01","DisplayName":"Cascade Health Alliance","Names":"","Aliases":"7512|7749|CHA01","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"OR","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"YOTOJ","ParentPayerGroupName":"Cascade Comprehensive Care Group","WebsiteUrl":"https://www.cascadehealthalliance.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BVHRC","PrimaryPayerId":"J1630","DisplayName":"Casitas Municipal Water District (California)","Names":"","Aliases":"J1630","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FCBPU","PrimaryPayerId":"37060","DisplayName":"Caterpillar Inc.","Names":"Caterpillar Incorporated","Aliases":"37060","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://networkprovider.cat.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZDXSF","PrimaryPayerId":"R3486","DisplayName":"Catholic Health System PACE","Names":"Catholic Health LIFE","Aliases":"R3486","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NY","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.chsbuffalo.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UKINR","PrimaryPayerId":"00317","DisplayName":"Catilize Health","Names":"","Aliases":"00317","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://catilize.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FSGEB","PrimaryPayerId":"CAV63","DisplayName":"Cavalry","Names":"","Aliases":"CAV63","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZUTWK","PrimaryPayerId":"03036","DisplayName":"CBA Blue","Names":"Blue Benefit Administrators Massachusetts|CBA Blue Healthcare Trust|CBA Blue/Blue Benefit Administrators|Cobalt Benefits Group|Cooperative Benefit Administrators Blue|Employee Benefits Plan Administrator Incorporated (EBPA)","Aliases":"03036|03036MA|10068|10803|3737|52132|7540|BBAMA|CBABLU","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"MA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cbabluevt.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LCDKY","PrimaryPayerId":"J1900","DisplayName":"CC Development Group Incorporated","Names":"","Aliases":"J1900","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EHDPO","PrimaryPayerId":"RHP01","DisplayName":"CCA Health Michigan","Names":"Commonwealth Care Alliance of Michigan (Formerly Reliance Health)|Reliance Health Maintenance Organization Incorporated Effective January 1, 2020","Aliases":"3057|8444|RHP01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"MI","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.commonwealthcarealliance.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TOVPZ","PrimaryPayerId":"TU127","DisplayName":"CCA Health of California Fee-for-Service","Names":"CCA Health Plans of California|CCA Health of California Fee-For-Service|Commonwealth Care Alliance","Aliases":"8264|TU127","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.commonwealthcarealliance.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZSEWV","PrimaryPayerId":"J1010","DisplayName":"CCMSI","Names":"Cannon Cochran Management Services Inc.","Aliases":"00489|J1010","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ccmsi.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LDECZ","PrimaryPayerId":"37105","DisplayName":"CCMSI (Cannon Cochran Management Services, Inc.)","Names":"Sage Technologies|Unified Physicians Network|Village MD","Aliases":"00304|1516|37105|3761","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ccmsi.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DJVJP","PrimaryPayerId":"DJVJP","DisplayName":"CCMSI – Workers Compensation","Names":"CCMSI (WC)","Aliases":"DJVJP","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OGKGP","PrimaryPayerId":"141641028","DisplayName":"CDPHP","Names":"Capital District Physicians Health Plan|Capital District Physicians' Health Plan","Aliases":"10458|12X03|141641028|2987|3786|95491|CDPHP|DX036|GITEY|JCUFN|SX065|SX065MA|ZNJOR","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"NY","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cdphp.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EYOEX","PrimaryPayerId":"GLOBALHEALTHCARE","DisplayName":"Cedar Gate Technologies","Names":"GHA|Global Healthcare Alliance|GlobalHealthcare|Iqvia","Aliases":"1258|12X59|5568|EIZMN|GHAHSS|GLOBALHEALTHCARE","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cedargate.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GLNHZ","PrimaryPayerId":"44827","DisplayName":"Cedar Valley Community Healthcare","Names":"CVCH|Cedar Valley Community Health Care|Cedar Valley Community Health Plan|Lake Region Community Health Plan|Lakes Area Community Health Plan|Northeast Iowa Community Health Plan|Quad Cities Community Health Plan","Aliases":"44827","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cvchcare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SKWEV","PrimaryPayerId":"95166","DisplayName":"Cedars-Sinai Medical Network Services","Names":"Cedars Sinai Medical Network Services","Aliases":"3295|8651|95166","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cedars-sinai.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TXTOW","PrimaryPayerId":"95167","DisplayName":"Cedars-Sinai Medical Network Services Encounters","Names":"","Aliases":"1052|3472|95167","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cedars-sinai.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WTCDC","PrimaryPayerId":"91888","DisplayName":"CEHAS Plan Administrators ","Names":"","Aliases":"3481|9011|91888","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"VA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cehas-admin.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BEKUC","PrimaryPayerId":"68063","DisplayName":"Celtic","Names":"Celtic Insurance Company|Delaware First Health","Aliases":"1043|10668|5219|68063|CELTC","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"DE","Programs":"","PtanRequired":"false","ParentPayerGroupId":"RZIUK","ParentPayerGroupName":"Centene Corporation Group","WebsiteUrl":"https://www.celticinsurancecompany.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RCAPE","PrimaryPayerId":"34643","DisplayName":"Cement Masons Union Local 502","Names":"","Aliases":"34643","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cmlocal502.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XOJAD","PrimaryPayerId":"95386","DisplayName":"CenCal Health","Names":"Central California Health|Santa Barbara Regional Health Authority","Aliases":"101173|11106|3447|3568|95386|99111|Z1243","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"95-3865941","CoverageTypes":"medical","OperatingStates":"CA","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cencalhealth.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GDNIM","PrimaryPayerId":"J1034","DisplayName":"Cendant Corporation","Names":"","Aliases":"J1034","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EKSGX","PrimaryPayerId":"10568","DisplayName":"Cenpatico Behavioral Health Florida","Names":"","Aliases":"10568","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"FL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SMFQW","PrimaryPayerId":"10570","DisplayName":"Cenpatico Behavioral Health Indiana","Names":"","Aliases":"10570","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"GA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UZKTJ","PrimaryPayerId":"10588","DisplayName":"Cenpatico Behavioral Health Massachusetts","Names":"","Aliases":"10588","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"MA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BDLZJ","PrimaryPayerId":"14043","DisplayName":"Centauri Health Solutions","Names":"NHI Billing Services Inc","Aliases":"14043|3699|9112","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.centaurihs.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BYRKI","PrimaryPayerId":"68068","DisplayName":"Centene (Behavioral Health)","Names":"Absolute Total Care|Ambetter|Ambetter from Home State Health|Celtic Insurance Company|Cenpatico Behavioral Health|Envolve PeopleCare|Granite State Health Plan|Home State Health|MHS Behavioral Health|NH Healthy Families|New Hampshire Healthy Families|Sunfower State Health Plan|Superior HealthPlan|Wellcare By Allwell","Aliases":"10567|10569|10571|10572|10573|10631|10632|10633|10634|10766|10767|10768|10769|10770|2175|2190|3220|3236|3706|4239|4676|4746|5207|5629|6136|6205|6212|6215|6263|6268|68050|68052|68053|68068|9026|9297|CENPAT","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NATIONAL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.centene.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IMJGY","PrimaryPayerId":"68069","DisplayName":"Centene (Medical)","Names":"Absolute Total Care|Ambetter|Ambetter from Buckeye Community Health Plan|Ambetter from CeltiCare Health|Ambetter from Coordinated Care|Ambetter from Health Net|Ambetter from Magnolia Health Plan|Ambetter from Managed Health Services|Ambetter from Peach State Health Plan|Ambetter from Sunshine Health|Ambetter from Superior HealthPlan|Ambetter of Arkansas|Arizona Complete Health|Arizona Complete Health (Complete Care Plan)|Arkansas Total Care|Ascension Complete|Bridgeway Health Solutions|Buckeye Health Plan|CalViva|California Health and Wellness|Care1st Health Plan Arizona (Arizona Health Care Cost Containment System Complete Care)|Care1st Health Plan Arizona (Right Health Benefits Association)|Carolina Complete Health|Carolina Complete Health Network|Celticare Health|Centene Medicare|Centene TPA|Coordinated Care|Delaware First Health|EVV Silver Summit Healthplan|Fidelis Secure Life|Granite State Health Plan|Health Net Medicare Advantage|Home State Health Plan|Iowa Total Care|Louisiana Health Exchange|Louisiana Healthcare Connections|MHS Health Wisconsin|MHS Wisconsin Health|Magnolia Health|Managed Health Services Indiana|Meridian Health Plan Michigan|Meridian Health Plan Michigan Complete|Michigan Complete Health|Michigan Complete Health (Fidelis Secure Life)|Nebraska Total Care|New Hampshire Healthy Families|Oklahoma Complete Health|Partner Health Management Physical Health|Partners Health Management Physical Health|Peach State Health Plan|Pennsylvania Health and Wellness|SanData|SilverSummit|Sunflower Health Plan|Sunshine Health|Superior HealthPlan|Trillium Community Health Plan|Trillium Health Resources - Physical Health|Trillium Medicare|WellCare|WellCare by Allwell|WellCare by Health Net|WellCare by Trillium Advantage|Western Sky Community Care","Aliases":"10451|10466|10560|10561|10562|10564|10565|10566|10586|10587|10589|10590|10592|10620|10704|10756|10759|10760|10761|10763|10764|10765|10771|10865|10866|11034|11057|11070|11082|11120|11126|11180|11223|11229|1164|1263|1299|13288|13291|13297|14329|14334|14338|14382|14509|1798|2111|2262|2289|2417|2701|2702|2703|2916|3119|3235|3733|39186|39187|39188|39188MA|42139|4272|4560|4652|4717|4793|5286|6157|6196|6197|6249|6262|6748|6753|6755|6756|6757|6759|6761|6762|68047|68054|68055|68056|68056MA|68057|68062|68069|68069MA|71080|7286|7287|7295|7740|7751|7766|7767|7768|7769|7770|7772|7773|7774|7775|7776|7783|7784|7785|7786|7808|7809|7874|8102|8103|8106|8136|8162|8299|8537|8741|8766|8793|9172|9175|9181|9278|9293|9430|9431|9432|9433|9747|9775|AZHNT|CBRIA|CBRID|CELTI|CJYMH|CNTENE|FJHPS|FLPNJ|J68069MA|LWCTG|NDUGI|NEBTC|NVASYS|NVSIL|OQJZW|RPYEM|XGOHE|YWJMO|Z96336","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"NATIONAL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"RZIUK","ParentPayerGroupName":"Centene Corporation Group","WebsiteUrl":"https://www.centene.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CTWJH","PrimaryPayerId":"46278","DisplayName":"Centene Dental and Vision Services","Names":"Centene Vision|Dental Health and Wellness - Envolve Dental|Envolve Benefit Options (Vision)|Envolve Health|Envolve Vision","Aliases":"1795|46278|56190|E46278|ZP4009","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.envolvehealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BSYNG","PrimaryPayerId":"13357","DisplayName":"Center Care (Meritain)","Names":"","Aliases":"13357|CC001","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"KY","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://centercare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KWGQT","PrimaryPayerId":"CC002","DisplayName":"Center Care Select","Names":"","Aliases":"CC002","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://centercare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YCBGR","PrimaryPayerId":"94312","DisplayName":"Center for Elders’ Independence","Names":"CEI","Aliases":"6695|6802|94312","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"CA","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://cei.elders.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YPIBM","PrimaryPayerId":"POP01","DisplayName":"Center IPA","Names":"Center Independent Practice Association|PremierOne Plus MSO","Aliases":"7701|POP01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://popmso.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EJTAT","PrimaryPayerId":"13360","DisplayName":"CenterLight Healthcare","Names":"CenterLight Health System|CenterLight Healthcare PACE","Aliases":"13360|6820|7613","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NY","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://centerlighthealthcare.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MZVWT","PrimaryPayerId":"CPHL","DisplayName":"Centers Plan for Healthy Living","Names":"","Aliases":"6777|8660|CPHL|CPHL1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NY","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"VJLBL","ParentPayerGroupName":"Anthem","WebsiteUrl":"https://centersplan.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VBNYZ","PrimaryPayerId":"MPM03","DisplayName":"Centinela Valley IPA","Names":"Centinela Valley Independent Practice Association|MedPOINT Management","Aliases":"5868|8689|MPM03","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medpointmanagement.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NHTMJ","PrimaryPayerId":"45564","DisplayName":"Centivo","Names":"Apostrophe Health","Aliases":"1051|14522|45564|8148|CENTV","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NY","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://centivo.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HKDSP","PrimaryPayerId":"10884","DisplayName":"Central California Alliance for Health","Names":"The Alliance","Aliases":"00217|00239|10884|12K82|2149|2997|CCA01|SX169|VPBAR","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://thealliance.health","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TLQDY","PrimaryPayerId":"NMM10","DisplayName":"Central California Physician Partners","Names":"Astrana Health","Aliases":"3835|9067|NMM10","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://centralcaliforniaphysicianpartners.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IHAMJ","PrimaryPayerId":"J1605","DisplayName":"Central Contra Costa Transit Authority","Names":"","Aliases":"J1605","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UXUQR","PrimaryPayerId":"88088","DisplayName":"Central Data Services","Names":"","Aliases":"88088","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cdsadministrators.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KXFKN","PrimaryPayerId":"UC001","DisplayName":"Central Health Medicare Plan","Names":"Brand New Day (Fee-For-Service)|Brand New Day Encounters|Central Health Plan of California|Universal Care","Aliases":"1044|14406|7871|UC001|UC001MA|UC002","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"CA","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"WLBLT","ParentPayerGroupName":"Molina Healthcare Inc Group","WebsiteUrl":"https://www.centralhealthplan.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XZCRN","PrimaryPayerId":"CHCPI","DisplayName":"Central Health Medicare Plan ","Names":"Central Health Managed Services Organization|Central Health Management Services Organization|Central Health Plan of California","Aliases":"4666|6198|CHCPI","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.centralhealthplan.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PKHEU","PrimaryPayerId":"J1035","DisplayName":"Central Hockey League","Names":"","Aliases":"J1035","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VJBEN","PrimaryPayerId":"TLU51","DisplayName":"Central Pennsylvania Teamsters Health & Welfare Fund","Names":"","Aliases":"23626|TLU51","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"PA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.centralpateamsters.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IDSFB","PrimaryPayerId":"34097","DisplayName":"Central Reserve Life","Names":"","Aliases":"34097","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YRPWO","PrimaryPayerId":"CVH01","DisplayName":"Central Valley Health Plan","Names":"","Aliases":"1882|3683|CVH01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XBNTB","PrimaryPayerId":"MPM59","DisplayName":"Central Valley Medical Providers (CVMEDPRO)","Names":"CVHP|Central Valley Health Plan|MedPOINT Management","Aliases":"8047|9765|CVM02|MPM59","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"MEDICARE_ADVANTAGE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medpointmanagement.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CPNDG","PrimaryPayerId":"QCIPA","DisplayName":"Centric Healthcare Services","Names":"QualCare IPA","Aliases":"QCIPA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.qualcareipa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZXRFZ","PrimaryPayerId":"57117","DisplayName":"Centrix Benefit Administrators","Names":"","Aliases":"57117|95599","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://centrixba.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SBDRC","PrimaryPayerId":"IHS11","DisplayName":"Centurion Health","Names":"Centurion Equity","Aliases":"8062|9779|IHS11","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"FL|GA|ID|IL|IN|KS|MD|MN|MO|TN","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://teamcenturion.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UIZKW","PrimaryPayerId":"J1646","DisplayName":"Chaffey Joint Union High School District (California)","Names":"","Aliases":"J1646","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SWYLZ","PrimaryPayerId":"49533","DisplayName":"Chaffey Medical Group","Names":"","Aliases":"49533|8024|9741","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://chaffeymedicalgroup.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YKMKG","PrimaryPayerId":"99795","DisplayName":"Champion Chevrolet","Names":"","Aliases":"99795","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NV","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.championchevroletreno.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CGTWB","PrimaryPayerId":"CPS01","DisplayName":"Champion Payer Solutions","Names":"CAS|Champion Health Plan","Aliases":"00348|2883|8085|CAS01|CPS01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://championpayer.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IJWQW","PrimaryPayerId":"10061","DisplayName":"CHAMPVA","Names":"CHAMPVA Spina Bifida Children of Women Vietnam Veterans|Civilian Health and Medical Program of the Department of Veterans Affairs Spina Bifida Children of Women Vietnam Veterans|VA Health Administration Center","Aliases":"10061","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"NATIONAL","Programs":"VETERANS_AFFAIRS","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.va.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EPAJK","PrimaryPayerId":"84146","DisplayName":"CHAMPVA HAC","Names":"CHAMPVA Health Administration Center Medicare Crossover|Children of Women Vietnam Veterans VA Health Administration Center|Civilian Health and Medical Program of the Department of Veterans Affairs Health Administration Center|Spina Bifida VA Health Administration Center|VA Family Members Program Dental (VFMP)|Veteran Family Member Program","Aliases":"1503|3807|80214|84146|84146MA|84147|VETHAC|ZIDQW","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"84-1469824","CoverageTypes":"dental|medical|vision","OperatingStates":"NATIONAL","Programs":"VETERANS_AFFAIRS","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.va.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AEXVB","PrimaryPayerId":"J4258","DisplayName":"Charles Taylor","Names":"","Aliases":"J4258","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.charlestaylor.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IBCYI","PrimaryPayerId":"J1036","DisplayName":"Charming Shoppes Incorporated","Names":"","Aliases":"J1036","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VMREW","PrimaryPayerId":"16600","DisplayName":"Chautauqua Healthcare Plan","Names":"","Aliases":"16600|2231","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FGCWY","PrimaryPayerId":"CHERO","DisplayName":"Cherokee Nation Comprehensive Care Agency","Names":"Cherokee Elder Care","Aliases":"2083|8231|CHERO","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"OK","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://eldercare.cherokee.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TBPUS","PrimaryPayerId":"J1908","DisplayName":"Chesapeake Insurance","Names":"SureBridge","Aliases":"J1908","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QJGJW","PrimaryPayerId":"1831185883","DisplayName":"Cheshire House - Ihp","Names":"Cheshire House - Ihp","Aliases":"1831185883","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VRZOF","PrimaryPayerId":"34154","DisplayName":"Chesterfield Resources","Names":"Salvation Army Health Plan","Aliases":"34154|3999|4245","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.chesterfieldresources.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XGTMV","PrimaryPayerId":"J1479","DisplayName":"Chesterfield Services Incorporated","Names":"","Aliases":"J1479","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZVUYW","PrimaryPayerId":"36334","DisplayName":"Chicago Health Systems","Names":"Loyola Medicine|Macneal Health Providers CHS","Aliases":"2270|36334|9512","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IL","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.loyolamedicine.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CVGLF","PrimaryPayerId":"TLY40","DisplayName":"Chicago Regional Council of Carpenters","Names":"Mid-America Carpenters Regional Council Benefits Fund","Aliases":"36222|TLY40","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"IL","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://carpenterbenefits.org","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YFUAM","PrimaryPayerId":"94321","DisplayName":"Children First Medical Group","Names":"","Aliases":"2151|5033|94321","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://childrenfirstmedicalgroup.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LXJBY","PrimaryPayerId":"10906","DisplayName":"Children's Mercy Pediatric Care Network","Names":"Children's Mercy PCN|Children's Mercy Preferred Care Network","Aliases":"10906","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"KS|MO","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cmics.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DQIFU","PrimaryPayerId":"RCHN1","DisplayName":"Children's Physicians Medical Group","Names":"CPMG|Physicians Management Group|Rady Children's Health Network","Aliases":"1145|RCHN1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://cpmgsandiego.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QFOQY","PrimaryPayerId":"CSSD2","DisplayName":"Children's Specialist of San Diego","Names":"Rady's Children's Specialists of San Diego","Aliases":"1197|CSSD2","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.rchsd.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ADQVY","PrimaryPayerId":"R3478","DisplayName":"Chinatown Service Center","Names":"CSC|Chinatown Service Centre","Aliases":"3403|8917|R3478","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"CA","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cscla.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OCPZA","PrimaryPayerId":"94302","DisplayName":"Chinese Community Health Plan","Names":"CCHP|CCHP Health Plan","Aliases":"3473|5683|94302","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://cchphealthplan.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CKETZ","PrimaryPayerId":"CVMC1","DisplayName":"Chino Valley Medical Center","Names":"","Aliases":"6559|CVMC1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GDRAW","PrimaryPayerId":"33070","DisplayName":"ChiroMetrics","Names":"","Aliases":"1133|1511|33070","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SFZXW","PrimaryPayerId":"DAKCH","DisplayName":"Chiropractic Association of South Dakota","Names":"","Aliases":"4199|DAKCH","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VPIMH","PrimaryPayerId":"CASD2","DisplayName":"Chiropractic Association of South Dakota Sanford Health Plan","Names":"","Aliases":"CASD2","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CXJGS","PrimaryPayerId":"33065","DisplayName":"CHOC Children's Hospital Orange County Health Alliance","Names":"Children's Hospital of Orange County Health Alliance|Rady Children's Hospital","Aliases":"00134|33065|6689|6792|CHOC1|SCH01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://chochealthalliance.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BMQNJ","PrimaryPayerId":"CMG01","DisplayName":"Choice Medical Group","Names":"","Aliases":"4283|8023|CMG01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.choicemg.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RMRVE","PrimaryPayerId":"CPN01","DisplayName":"Choice Physician Network","Names":"Choice Medical Group","Aliases":"7271|8685|CPN01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.choicemg.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CVPVP","PrimaryPayerId":"CPNNP","DisplayName":"Choice Physicians Network (Nivano Physicians)","Names":"","Aliases":"7069|9456|CPNNP","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.choicemg.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QWAXP","PrimaryPayerId":"CPNR1","DisplayName":"Choice Physicians Network - RINCO","Names":"","Aliases":"CPNR1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.choicemg.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QVPIJ","PrimaryPayerId":"CPNAH","DisplayName":"Choice Physicians Network Advent Health Medical Corporation","Names":"Choice Physicians Network - Amada Health","Aliases":"CPNAH","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.choicemg.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SNKPN","PrimaryPayerId":"CPNFC","DisplayName":"Choice Physicians Network First Choice","Names":"","Aliases":"1794|8661|CPNFC","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.choicemg.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EDUOH","PrimaryPayerId":"POP03","DisplayName":"Choiceone Independent Practice Association","Names":"ChoiceOne Independent Practice Association|PremierOne Plus MSO","Aliases":"POP03","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://popmso.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JQMGK","PrimaryPayerId":"29123","DisplayName":"Chorus Community Health Plans","Names":"Children's Community Health Plan Wisconsin","Aliases":"1149|1581|251CC|29123|3799|9059|FVIUY","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://chorushealthplans.org","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AHILO","PrimaryPayerId":"38308","DisplayName":"Christian Brothers Services","Names":"","Aliases":"10908|38308|4674|6202|CBSAB|CBSER","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cbservices.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HZGTQ","PrimaryPayerId":"59355","DisplayName":"Christian Care Ministry","Names":"Christian Ministry Plan|Medi-Share|MediShare","Aliases":"14455|14524|59355|7154|8638|CCMINS","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medishare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WCQHU","PrimaryPayerId":"98628","DisplayName":"Christian Health Aid","Names":"The Aid Plans","Aliases":"1842|3661|98628","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://theaidplans.us","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YJAPL","PrimaryPayerId":"VB002","DisplayName":"Christiana Care Value-Based Reimbursement","Names":"Christiana Care Value Based Reimbursement","Aliases":"8218|VB002","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"DE|PA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://christianacare.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IQBHP","PrimaryPayerId":"10629","DisplayName":"Christus Health Medicare Advantage","Names":"Christus Health Medicare Plus (HMO) / Guardian (HMO)|Christus Health Plan","Aliases":"10629|11007|21062|7805|8579|CHPMA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"NM|TX","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"ZVMVA","ParentPayerGroupName":"CHRISTUS Health Group","WebsiteUrl":"https://www.christushealthplan.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CYQPS","PrimaryPayerId":"52106","DisplayName":"Christus Health Plan LA Exchange","Names":"CHRISTUS Health Plan Texas Health Insurance Exchange|Christus Health Insurance Marketplace - Louisiana|Christus Health Insurance Marketplace - Texas|Christus Health Plan Health Insurance Exchange|Christus Health Plan Texas HIX","Aliases":"10696|15553|52106|7716|9657|CHPTX","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"LA|TX","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.christushealthplan.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EZLUL","PrimaryPayerId":"45210","DisplayName":"Christus Health Plan Nueces County Hospital District","Names":"Christus Health Plan Medicaid|NCHD|Nueces County Hospital District","Aliases":"11105|45210|4646|6167|CHPMD","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TX","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.christushealthplan.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GFCQU","PrimaryPayerId":"90551","DisplayName":"Christus Health US Family Health Plan","Names":"TRICARE Prime|US Family Health Plan|US Family Health Plan (USFHP) Texas and Louisiana|USFHP|United States Family Health Plan","Aliases":"15552|16741|4493|4952|90551|CFMHP|USFHP|UZFCJ","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"NATIONAL","Programs":"TRICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.christushealthplan.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KWITZ","PrimaryPayerId":"MPM20","DisplayName":"CHS Alta POD by MedPoint","Names":"Community Health Systems Alta Pioneer by MedPoint|MedPOINT Management|Southern California Health Systems Alta Pioneer by MedPoint|Southern California Healthcare System (SCHS) Alta Pod by MedPOINT - Health Net","Aliases":"1060|7887|MPM20","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medpointmanagement.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VLUZX","PrimaryPayerId":"C1052","DisplayName":"Chubb and Son (Auto)","Names":"","Aliases":"C1052","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.chubb.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CFVIA","PrimaryPayerId":"J1554","DisplayName":"Chubb and Son (Worker's Comp)","Names":"","Aliases":"J1554","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OSGLH","PrimaryPayerId":"J1561","DisplayName":"Chubb Services","Names":"","Aliases":"J1561","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LZPWK","PrimaryPayerId":"LZPWK","DisplayName":"Chubb Services – Workers Compensation","Names":"Chubb Services (WC)","Aliases":"LZPWK","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TMYJD","PrimaryPayerId":"J1264","DisplayName":"Church Mutual Insurance Company (Auto Only)","Names":"","Aliases":"J1264","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KOFDK","PrimaryPayerId":"J1266","DisplayName":"Church Mutual Insurance Company (Liability Only)","Names":"","Aliases":"J1266","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZUTOS","PrimaryPayerId":"J1725","DisplayName":"Church Mutual Insurance Company (Workers' Compensation Only)","Names":"","Aliases":"J1265|J1725","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HGJLR","PrimaryPayerId":"62308","DisplayName":"Cigna","Names":"Banner Health and Dental|CIGNA HealthCare for Seniors - AZ Medicare|Cigna Arizona Medicare Advantage|Cigna Behavioral Health|Cigna DHMO|Cigna Dental DPPO|Cigna Dental HMO|Cigna Evernorth|Cigna Health and Life Insurance Company (CHLIC)|Cigna International|Connecticut General (CIGNA)|Connecticut General Medical Claims|Continental Dental|Eaton Benefits Ohio|Equicor / Equitable|Equicor Equitable|Equicor Preferred Provider Organization|First Great-West Life and Annuity Insurance Company|General American Life Insurance Company|Healthsource Provident|Medco Containment Insurance Company of New York|NALC Health Benefit Plan|National Association of Letter Carriers Health Benefit Plan|One Health Plan of California|One Health Plan of Georgia|One Health Plan of Illinois|Provident Life & Casualty Ins. Co.|Provident Life and Accident Ins. Co.|Provident Preferred Network|Sanus Health Maintenance Organization Preferred Provider Organization St. Louis|Seton Employee Plan Active and Archive|Special Agents Mutual Benefit Association|UFT Welfare Fund","Aliases":"06-0303370|06-1059331|10050|10789|10790|1591031071|1841|2595|4509|4516|5436|58210|5943|62308|62308MA|6405|6408|86033|86033MA|CBH|CBHTX|CGHMO|CIGN1|CIGNA|GWSTHC|JIEZK|MCCBV|NALCHBP|PNMDV|SX071|TGCUQ","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"59-1031071","CoverageTypes":"dental|medical|vision","OperatingStates":"NATIONAL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"BDKOJ","ParentPayerGroupName":"Cigna","WebsiteUrl":"https://www.cigna.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BFMUK","PrimaryPayerId":"ARLMS","DisplayName":"Cigna Medicare Supplement","Names":"ARLIC|American Retirement Life Insurance Company|Cigna Health and Life Insurance Company|Cigna Insurance Company|Cigna Medigap|Great American","Aliases":"10538|ARLMS|E10538","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NATIONAL","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"BDKOJ","ParentPayerGroupName":"Cigna","WebsiteUrl":"https://www.cigna.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EFUFJ","PrimaryPayerId":"13193","DisplayName":"Cigna Medicare Supplement (Medigap)","Names":"American Retirement|Central Reserve Life Insurance Company|Cigna Supplemental|Continental General Insurance Company Medicare Supplement|Great American Life Insurance Company (Medicare Supplement)|Loyal American Life Insurance Company|Provident American Life & Health Insurance Company","Aliases":"10543|10545|13193|13193MA|6437|7664|GAAMS|LALIMS|Z90024","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cigna.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JBDLH","PrimaryPayerId":"J1562","DisplayName":"Cincinnati Insurance","Names":"","Aliases":"00398|J1562","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KXSVN","PrimaryPayerId":"CINQ1","DisplayName":"Cinqcare Connect","Names":"","Aliases":"2879|CINQ1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cinq.care","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZMAHL","PrimaryPayerId":"1919T","DisplayName":"Cities and Villages Mutual Insurance Company","Names":"","Aliases":"1919T","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"WI","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cvmic.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GSWCZ","PrimaryPayerId":"J1582","DisplayName":"Citizens Insurance Company of America","Names":"","Aliases":"J1582","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VQCPL","PrimaryPayerId":"J1613","DisplayName":"Citrus Valley Health Partners","Names":"","Aliases":"J1613","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MJIJM","PrimaryPayerId":"J1945","DisplayName":"Citrus World Incorporated","Names":"","Aliases":"J1945","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LWGDW","PrimaryPayerId":"J1885","DisplayName":"City and County of San Francisco (CCSF)","Names":"","Aliases":"J1885","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FYDXV","PrimaryPayerId":"A0033","DisplayName":"City of Arlington","Names":"","Aliases":"A0033","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AUOKO","PrimaryPayerId":"J1792","DisplayName":"City of Banning (California)","Names":"","Aliases":"J1792","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VKNAI","PrimaryPayerId":"J1793","DisplayName":"City of Barstow (California)","Names":"","Aliases":"J1793","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FCIFD","PrimaryPayerId":"J1794","DisplayName":"City of Blythe (California)","Names":"","Aliases":"J1794","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VDBAD","PrimaryPayerId":"J1880","DisplayName":"City of Brea","Names":"","Aliases":"J1880","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EWHNC","PrimaryPayerId":"J1928","DisplayName":"City of Charlotte","Names":"","Aliases":"J1928","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WKOQI","PrimaryPayerId":"J1441","DisplayName":"City of Dallas","Names":"","Aliases":"J1441","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DXJHV","PrimaryPayerId":"J1799","DisplayName":"City of Desert Hot Springs (California)","Names":"","Aliases":"J1799","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QDLXD","PrimaryPayerId":"1437209541","DisplayName":"City Of Downey -Brms","Names":"Benefit & Risk Management Services","Aliases":"1437209541","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://brmsonline.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KCBVY","PrimaryPayerId":"A0046","DisplayName":"City of El Paso","Names":"","Aliases":"A0046","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PMYKL","PrimaryPayerId":"J1680","DisplayName":"City of Fort Worth (Texas)","Names":"","Aliases":"J1680","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VQMSC","PrimaryPayerId":"J1800","DisplayName":"City of Glendale (Arizona)","Names":"","Aliases":"J1800","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LVXDH","PrimaryPayerId":"J1444","DisplayName":"City of Houston","Names":"","Aliases":"J1444","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YHQKV","PrimaryPayerId":"J1504","DisplayName":"City of Jacksonville","Names":"","Aliases":"J1504","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ICXIL","PrimaryPayerId":"J1711","DisplayName":"City of La Mesa 11 (California)","Names":"","Aliases":"J1711","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SEKMJ","PrimaryPayerId":"J1653","DisplayName":"City of Laguna Hills (California)","Names":"","Aliases":"J1653","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DHPWQ","PrimaryPayerId":"J1536","DisplayName":"City of Los Angeles","Names":"","Aliases":"J1536","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SJYAU","PrimaryPayerId":"J1946","DisplayName":"City of Miami Beach (Florida)","Names":"","Aliases":"J1946","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GZSDX","PrimaryPayerId":"J1269","DisplayName":"City of Minneapolis","Names":"","Aliases":"J1269","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PAWFE","PrimaryPayerId":"A0287","DisplayName":"City Of Minneapolis","Names":"","Aliases":"A0287","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"MN","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.minneapolismn.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GMHLN","PrimaryPayerId":"J1714","DisplayName":"City of Monrovia (California)","Names":"","Aliases":"J1714","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XQRDR","PrimaryPayerId":"J1640","DisplayName":"City of Montebello (California)","Names":"","Aliases":"J1640","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RGOXM","PrimaryPayerId":"J1797","DisplayName":"City of Murieta (California)","Names":"","Aliases":"J1797","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AVFAR","PrimaryPayerId":"J1721","DisplayName":"City of Omaha (Nebraska)","Names":"","Aliases":"J1721","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UMNID","PrimaryPayerId":"J1881","DisplayName":"City of Orange","Names":"","Aliases":"J1881","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZGFWI","PrimaryPayerId":"J1795","DisplayName":"City of Perris (California)","Names":"","Aliases":"J1795","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FUWEB","PrimaryPayerId":"J1947","DisplayName":"City of Pompano Beach (Florida)","Names":"","Aliases":"J1947","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"FL","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.pompanobeachfl.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EFJCN","PrimaryPayerId":"J1617","DisplayName":"City of Redding (California)","Names":"","Aliases":"J1617","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JWYVR","PrimaryPayerId":"J1901","DisplayName":"City of Rialto","Names":"City of Rialto California","Aliases":"J1901","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TGCTP","PrimaryPayerId":"J1849","DisplayName":"City of Salinas","Names":"","Aliases":"J1849","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PCIKD","PrimaryPayerId":"J1497","DisplayName":"City of San Diego","Names":"","Aliases":"J1497","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HIDZR","PrimaryPayerId":"J1796","DisplayName":"City of San Jacinto (California)","Names":"","Aliases":"J1796","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HEUOQ","PrimaryPayerId":"J1727","DisplayName":"City of San Mateo (California)","Names":"","Aliases":"J1727","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EFTMQ","PrimaryPayerId":"J1598","DisplayName":"City of Snyder (Texas)","Names":"","Aliases":"J1598","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OKWBV","PrimaryPayerId":"J1602","DisplayName":"City of St. Paul (Minnesota)","Names":"","Aliases":"J1602","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YIUME","PrimaryPayerId":"J1636","DisplayName":"City of Stanton (California)","Names":"","Aliases":"J1636","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FXZQR","PrimaryPayerId":"J1664","DisplayName":"City of Stockton (California)","Names":"","Aliases":"J1664","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YTSDA","PrimaryPayerId":"J1607","DisplayName":"City of Topeka (Kansas)","Names":"","Aliases":"J1607","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"KS","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://topeka.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BWMOE","PrimaryPayerId":"J1645","DisplayName":"City of Upland (California)","Names":"","Aliases":"J1645","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GVDIM","PrimaryPayerId":"TKFMC","DisplayName":"City of Visalia","Names":"","Aliases":"2058|2246|TKFMC","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.tkfmc.org","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LTILR","PrimaryPayerId":"J1649","DisplayName":"City of West Covina (California)","Names":"","Aliases":"J1649","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.westcovina.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BRTPB","PrimaryPayerId":"J1948","DisplayName":"City of West Palm Beach (Florida)","Names":"","Aliases":"J1948","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"FL","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.wpb.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UFPSU","PrimaryPayerId":"J1700","DisplayName":"City of Westminster (California)","Names":"","Aliases":"J1700","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CINQG","PrimaryPayerId":"J1708","DisplayName":"City of Yorba Linda (California)","Names":"","Aliases":"J1708","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QJZFH","PrimaryPayerId":"CCMMH","DisplayName":"Clackamas County Mental Health","Names":"","Aliases":"3474|CCMMH","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"OR","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.clackamas.us","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SHOLF","PrimaryPayerId":"83063","DisplayName":"ClaimChoice","Names":"Claims Choice Administrators LLC","Aliases":"5044|83063|8890","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://claimchoice.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YPNUA","PrimaryPayerId":"38219","DisplayName":"ClaimChoice Administrators","Names":"AmeraPlan","Aliases":"00052|38219|4298","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://claimchoice.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TUSIA","PrimaryPayerId":"J1271","DisplayName":"Claims Administrative Services (CAS)","Names":"","Aliases":"J1271","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KDSZQ","PrimaryPayerId":"43056","DisplayName":"Claims Development Corporation","Names":"Provider Network Solutions","Aliases":"43056|7191","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.providernetworksolutions.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DJQDP","PrimaryPayerId":"CBDIA","DisplayName":"ClaimsBridge Dialysis PPO","Names":"DialysisPPO","Aliases":"2284|2567|CBDIA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://dialysisppo.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IZAOW","PrimaryPayerId":"11752","DisplayName":"ClaimsBridge High Performance Network","Names":"Claimsbridge High Performance Network","Aliases":"11752|5640|6270","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FWAKG","PrimaryPayerId":"IHS03","DisplayName":"ClaimsBridge Payer 3","Names":"People First Health Strategies","Aliases":"5057|9100|IHS03","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.bennie.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VPZQL","PrimaryPayerId":"1932309242","DisplayName":"Classic Home Care - Jns","Names":"Classic Home Care - Jns","Aliases":"1932309242","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"COJXN","PrimaryPayerId":"J1037","DisplayName":"Classic Residence by Hyatt","Names":"","Aliases":"J1037","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DBIUR","PrimaryPayerId":"CLEAR","DisplayName":"Clear Health Alliance","Names":"","Aliases":"1095|12261|8123|CLEAR","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"FL","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.clearhealthalliance.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VOEOI","PrimaryPayerId":"DCRSS","DisplayName":"Clearwater Benefits","Names":"Boomy Health|ClearShare","Aliases":"2834|7960|DCRSS","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NATIONAL","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.clearwaterhealth.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DPBHU","PrimaryPayerId":"CC168","DisplayName":"Clever Care Health Plan","Names":"","Aliases":"00485|5003|5011|84227|84227MA|8422E|8848|8858|CC168|CC16E","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://clevercarehealthplan.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EOCYQ","PrimaryPayerId":"24585","DisplayName":"Clifton Health Systems DBA Actin Care Groups","Names":"Clifton Health Systems Doing Business As Actin Care Groups","Aliases":"24585|7461|9632","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IL","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.actincare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DQJFL","PrimaryPayerId":"CSI01","DisplayName":"Clinical Specialties Incorporated","Names":"","Aliases":"CSI001|CSI01|JBPCO","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VMLOP","PrimaryPayerId":"CDCR1","DisplayName":"Clinicas del Camino Real","Names":"","Aliases":"6852|7635|CDCR1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://clinicas.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OVRSA","PrimaryPayerId":"J1739","DisplayName":"Clougherty Packing LLC","Names":"","Aliases":"J1739","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IXNOC","PrimaryPayerId":"CRPHP","DisplayName":"Clover Health","Names":"CarePoint Advantage","Aliases":"10822|77023|CRPHP","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"GA|MS|NJ|PA|SC|TX","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cloverhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VUHRT","PrimaryPayerId":"13285","DisplayName":"Clover Health","Names":"Clover Health LLC","Aliases":"13285|13285MA|5666|6433|CLOVE","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://cloverhealth.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ASKVB","PrimaryPayerId":"MBILU","DisplayName":"CMS MBI Lookup","Names":"","Aliases":"14316|MBILU","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NATIONAL","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.stedi.com/docs/healthcare/mbi-lookup","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"APSMC","PrimaryPayerId":"MBILUNOSSN","DisplayName":"CMS MBI Lookup Without SSN","Names":"CMS MBI Lookup Without Social Security Number","Aliases":"MBILUNOSSN","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NATIONAL","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.stedi.com/docs/healthcare/mbi-lookup","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QZNEJ","PrimaryPayerId":"20443","DisplayName":"CNA Insurance","Names":"","Aliases":"20443","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cna.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WXVYU","PrimaryPayerId":"C1035","DisplayName":"CNA Insurance (Auto Only)","Names":"","Aliases":"C1035","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cna.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XDGJL","PrimaryPayerId":"XDGJL","DisplayName":"CNA Insurance – Workers Compensation","Names":"CNA Insurance (WC)","Aliases":"XDGJL","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FWYNK","PrimaryPayerId":"14829","DisplayName":"Co-ordinated Benefits Plans","Names":"Co Ordinated Benefits Plan","Aliases":"14829|1623|5290","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cbpinsure.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EAEWT","PrimaryPayerId":"J1272","DisplayName":"Coach USA","Names":"","Aliases":"J1272","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BNDKR","PrimaryPayerId":"COMG1","DisplayName":"Coachella Medical Group","Names":"","Aliases":"3404|8901|COMG1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.coachellamed.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IUFVM","PrimaryPayerId":"J1902","DisplayName":"Coachella Valley Water District (California)","Names":"","Aliases":"J1902","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PHTYV","PrimaryPayerId":"CAS89","DisplayName":"Coastal Administrative Services","Names":"CAS","Aliases":"3022|8271|CAS89|DX007","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://casbenefits.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HDJPG","PrimaryPayerId":"47394","DisplayName":"Coastal Care Services","Names":"","Aliases":"2091|47394|7841","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ccsi.care","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PJEGK","PrimaryPayerId":"CCPN1","DisplayName":"Coastal Community Physician Network (CCPN) (Regal)","Names":"","Aliases":"6726|CCPN1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ccpnhpn.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NAHAD","PrimaryPayerId":"77052","DisplayName":"Coastal TPA","Names":"Aspire Health Plan|Coastal Management Services|Coastal TPA Incorporated|Coastal Third Party Administrator Incorporated","Aliases":"00059|4882|77052|9622","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://coastalmgmt.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YRKMN","PrimaryPayerId":"J1038","DisplayName":"Coca-Cola Enterprises Incorporated","Names":"Coca Cola Enterprises Incorporated","Aliases":"J1038","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MAZRA","PrimaryPayerId":"98653","DisplayName":"Coeur Plan Services","Names":"","Aliases":"8027|9744|98653","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TX","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://coeurplanservices.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RCPZE","PrimaryPayerId":"36480","DisplayName":"Collective Health","Names":"Collective Dialysis","Aliases":"36480|8014|9730|ZP6493","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://collectivehealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HERQH","PrimaryPayerId":"36479","DisplayName":"Collective Health Administrators","Names":"CollectiveHealth Administrators, LLC","Aliases":"00269|16708|36479|5036|8883|COLLECTIVE","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"36-4790552","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://collectivehealth.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UFDMW","PrimaryPayerId":"37077","DisplayName":"Colonial Penn Life","Names":"Bankers Life|Colonial Life","Aliases":"00459|10852|1180|2550|37077|62065|CPLIC|QWSGP","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.bankerslife.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JUQVZ","PrimaryPayerId":"COACC","DisplayName":"Colorado Access","Names":"","Aliases":"00311|10064|1643|2431|84129|COACC|COACCS","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"CO","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"XVIEN","ParentPayerGroupName":"Colorado Access Group","WebsiteUrl":"https://www.coaccess.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HKOXD","PrimaryPayerId":"J1428","DisplayName":"Colorado Casualty","Names":"","Aliases":"J1428","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MEPIQ","PrimaryPayerId":"COCHA","DisplayName":"Colorado Community Health Alliance","Names":"CCHA","Aliases":"1036|14511|7865|COCHA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"CO","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"VJLBL","ParentPayerGroupName":"Anthem","WebsiteUrl":"https://www.cchacares.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WNCNX","PrimaryPayerId":"49718","DisplayName":"Colorado Health Insurance Cooperative","Names":"","Aliases":"49718|6816|7600","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TVLXD","PrimaryPayerId":"J1039","DisplayName":"Columbia Sussex Corporation","Names":"","Aliases":"J1039","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EYKZJ","PrimaryPayerId":"CHP02","DisplayName":"Columbine Health Plan","Names":"","Aliases":"7763|CHP02","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CO","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://portal.columbineplan.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"THRXP","PrimaryPayerId":"COMCL","DisplayName":"Commons Clinic Medical Network","Names":"","Aliases":"1663|1722|COMCL","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://commonsclinic.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CQFQC","PrimaryPayerId":"A2793","DisplayName":"Commonwealth Care Alliance (CCA)","Names":"","Aliases":"14315|14408|3437|4093|8834|A2793|A2793MA|ISCWA|SCNCA|ZP4014","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"CA|MA|RI","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.commonwealthcarealliance.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DAINT","PrimaryPayerId":"34525","DisplayName":"CommuniCare Advantage","Names":"","Aliases":"34525|5095|70022|9144","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IN|MD|OH","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://communicare-advantage.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HKUKS","PrimaryPayerId":"232766661","DisplayName":"Community Behavioral Health","Names":"City of Philadelphia Department of Behavioral Health and Intellectual Disability Services|DBHIDS","Aliases":"232766661","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"23-2766661","CoverageTypes":"medical","OperatingStates":"PA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://cbhphilly.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZPDPN","PrimaryPayerId":"85468","DisplayName":"Community Care Alliance of Illinois","Names":"Clear Spring Health|Eon Health|Family Health Network","Aliases":"14402|5043|85468|85468MA|8889|CCAIL|ILCMS","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CO|IL|VA","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://clearspringhealthcare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FMXTS","PrimaryPayerId":"17902","DisplayName":"Community Care Associates","Names":"","Aliases":"17902|5844|8525","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AIQXW","PrimaryPayerId":"23282","DisplayName":"Community Care Behavioral Health Organization","Names":"Community Care BHO|UPMC","Aliases":" 23282|23282","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"PA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://providers.ccbh.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WHZDI","PrimaryPayerId":"TCMAP","DisplayName":"Community Care Collaborative","Names":"Travis County MAP MediView","Aliases":"1063|7891|TCMAP|UCMAP","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TX","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.centralhealth.net","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QKFGP","PrimaryPayerId":"60995","DisplayName":"Community Care Family Care","Names":"","Aliases":"4910|60995|6110","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"WI","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.communitycareinc.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NTIDR","PrimaryPayerId":"39126","DisplayName":"Community Care Family Care Partnership or PACE","Names":"","Aliases":"2232|39126|3938","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"WI","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.communitycareinc.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZKVPJ","PrimaryPayerId":"ZP4515","DisplayName":"Community Care Health Plan Inc","Names":"Community Care Health Plan Inc","Aliases":"ZP4515","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OXHNP","PrimaryPayerId":"MPM48","DisplayName":"Community Care Independent Practice Association","Names":"Community Care IPA|MedPOINT Management","Aliases":"2081|8226|MPM48","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medpointmanagement.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HOSTF","PrimaryPayerId":"59064","DisplayName":"Community Care Plan","Names":"BCG Community Care Plan|Broward County Heart Screening Program|CCP Employee Plan|Community Care Plan (Commercial)|MHS Employee Plan","Aliases":"2160|59064|9504","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"FL","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://ccpcares.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YDFDB","PrimaryPayerId":"BHPP1","DisplayName":"Community Care Plan (Broward Health PPUC)","Names":"BROWARD HEALTH SOUTH FLORIDA COMMUNITY CARE NETWORK NBHD|Broward Health Preferred Provider Universal Care|Community Care Plan (Broward Health Physician Practice Utilization Committee)","Aliases":"37314|8228|BHPP1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"FL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://ccpcares.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LBWUQ","PrimaryPayerId":"FHKC1","DisplayName":"Community Care Plan (Florida Healthy Kids)","Names":"CCP-FHK|FHK|Florida Healthy Kids","Aliases":"3069|8477|FHKC1","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"FL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://ccpcares.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QIOXL","PrimaryPayerId":"59065","DisplayName":"Community Care Plan (Managed Medical Assistance)","Names":"CCP-MMA|Community Care Plan (MMA)","Aliases":"59065|6865|7662","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"FL","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://ccpcares.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YGIJV","PrimaryPayerId":"J1655","DisplayName":"Community Development Commission (California)","Names":"","Aliases":"J1655","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NVEYS","PrimaryPayerId":"CECVP","DisplayName":"Community Eye Care","Names":"","Aliases":"CECVP","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cecvision.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KYRKD","PrimaryPayerId":"NMM05","DisplayName":"Community Family Care","Names":"Astrana Health|Network Medical Management","Aliases":"3049|8298|NMM05","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.astranahealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TGWAI","PrimaryPayerId":"COMMF","DisplayName":"Community First Health Plans","Names":"First Community Health Plan|University Health System","Aliases":"11222|14375|3809|42723|8925|COMMF|EXFCY","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TX","Programs":"COMMERCIAL|MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"XPKCN","ParentPayerGroupName":"Community First Group","WebsiteUrl":"https://communityfirsthealthplans.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MILAJ","PrimaryPayerId":"35193","DisplayName":"Community Health Alliance","Names":"CHA","Aliases":"1910|35193|3820","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IN|MI","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://chanetwork.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IWXEQ","PrimaryPayerId":"CHCN1","DisplayName":"Community Health Center Network","Names":"CHCN","Aliases":"CHCN1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://chcnetwork.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ESOMB","PrimaryPayerId":"48145","DisplayName":"Community Health Choice","Names":"Community Health Choice (Medicaid Dual Special Needs Plan)|Community Health Choice CHIP|Community Health Choice HMO D-SNP|Community Health Choice STAR","Aliases":"00140|11165|2538|3773|48145|COMHC","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"TX","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"CGCPJ","ParentPayerGroupName":"Harris Health Group","WebsiteUrl":"https://provider.communityhealthchoice.org","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LPVAD","PrimaryPayerId":"60495","DisplayName":"Community Health Choice","Names":"Community Health Choice (Marketplace)|Community Health Choice Texas HIM","Aliases":"60495|6687|6791","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"TX","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://provider.communityhealthchoice.org","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VIDVA","PrimaryPayerId":"66170","DisplayName":"Community Health Group","Names":"CHGSD|Community Health Group of San Diego","Aliases":"11087|66170|7110|7668|Z1700","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"95-3766170","CoverageTypes":"dental|medical","OperatingStates":"CA","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://chgsd.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FMAPU","PrimaryPayerId":"PRO-HEALTH","DisplayName":"Community Health Network","Names":"Indiana Pro Health Network","Aliases":"16699|35161|PRO-HEALTH","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"IN","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ecommunity.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OCJKP","PrimaryPayerId":"45341","DisplayName":"Community Health Options","Names":"Maine Community Health Options","Aliases":"11122|45341|6827|7608|MECOH|MNCHO","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"ME","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.healthoptions.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ABHDB","PrimaryPayerId":"CHPWA","DisplayName":"Community Health Plan of Washington","Names":"CHPW|Community healthfirst medicare advantage","Aliases":"10329|10421|1927|3445|CHFMA|CHPWA|CHPWAMA|SB613|WACHP|WFSQL","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"WA","Programs":"COMMERCIAL|MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.chpw.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YKSBD","PrimaryPayerId":"23283","DisplayName":"Community LIFE","Names":"Pittsburgh Care Partnership Inc.|Pittsburgh Care Partnership Incorporated","Aliases":"23283|4009|8734","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"PA","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.commlife.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XQKDT","PrimaryPayerId":"73143","DisplayName":"CommunityCare","Names":"Community Care of Oklahoma|CommunityCare HMO, Inc.|CommunityCare Life and Health|Senior Health Plan","Aliases":"10066|1874|73143|8560|CCOOK|COM01|OKCMCR","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"OK","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ccok.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WLWLY","PrimaryPayerId":"AMM12","DisplayName":"CommunityCare IPA","Names":"Community Care Independent Physician Association|Community Care Independent Practice Association","Aliases":"AMM12","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://communitycareipa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GRWZH","PrimaryPayerId":"48005","DisplayName":"Companion Life","Names":"Companion Life Insurance Company","Aliases":"2793|48005","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.companionlife.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NBSCQ","PrimaryPayerId":"2838","DisplayName":"Companion Life Insurance Company of California (LOB CLIC)","Names":"","Aliases":"2838|7965|CLICA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.companionlife.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DPAVW","PrimaryPayerId":"J1829","DisplayName":"Companion Property and Casualty Insurance Company","Names":"","Aliases":"J1829","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YWMPM","PrimaryPayerId":"J1040","DisplayName":"Compass Group USA Incorporated","Names":"Compass Group USA Incorporated","Aliases":"J1040","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UFSTD","PrimaryPayerId":"45687","DisplayName":"Compass Health Administrators","Names":"","Aliases":"1818|45687","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://compasshealthadministrators.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ATPTB","PrimaryPayerId":"CX021","DisplayName":"CompBenefits Dental","Names":"Alief Independent School District|Chicago Transit Authority|City of Chicago|City of Sugar Land|College Insurance Program|CompBenefits Corporation|Florida Combined Life|Humana Dental Insurance Co|Humana Insurance Company|Humana Specialty Benefits|Local Government Health Plan|Security Dental Plan|State of Illinois|Union Fidelity Life Insurance Company","Aliases":"00147|9252|CX021","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"IL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"WCDVL","ParentPayerGroupName":"Humana Group","WebsiteUrl":"https://www.compbenefits.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UKXLH","PrimaryPayerId":"ZP6222","DisplayName":"CompIQ","Names":"CompIQ Solutions","Aliases":"ZP6222","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://compiqsolutions.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KYZQM","PrimaryPayerId":"93101","DisplayName":"Complementary Health Care","Names":"Complementary Healthcare Plans|Heraya Health|The CHP Group","Aliases":"93101","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.herayahealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RLMKL","PrimaryPayerId":"R3485","DisplayName":"Complete Senior Care, PACE","Names":"","Aliases":"1433|1596|R3485","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NY","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://completeseniorcare.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TAIOY","PrimaryPayerId":"CCMC1","DisplayName":"Comprehensive Care Management","Names":"","Aliases":"CCMC1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YDIVO","PrimaryPayerId":"37363","DisplayName":"ComPsych","Names":"ComPsych Corporation","Aliases":"37363|6206|6644|CMPSY","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.compsych.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EJXON","PrimaryPayerId":"J1925","DisplayName":"CompWest","Names":"","Aliases":"J1925","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KIYXC","PrimaryPayerId":"J1844","DisplayName":"Con-way Incorporated","Names":"Con Way Incorporated","Aliases":"J1844","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VPLWJ","PrimaryPayerId":"66869","DisplayName":"Concentrix Insurance Services","Names":"Concentrix Insurance Services|Nassau Life Insurance Company Of Texas On Behalf Of Nationwide Life Insurance Company","Aliases":"66869","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YHBRW","PrimaryPayerId":"19028","DisplayName":"Concentrix Insurance Solutions","Names":"Concentrix Insurance Solutions (illumifin)|IBM Business Toisc|Prudential Insurance Company of America","Aliases":"10861|19028|3686|Z95754","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.illumifin.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EBYKU","PrimaryPayerId":"23249","DisplayName":"Conifer Health Solutions","Names":"CAPCMS|Performance Health|Sentinel Management Services","Aliases":"23249|2995|3256","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://coniferhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VCEBA","PrimaryPayerId":"95399","DisplayName":"Conifer Health Solutions","Names":"CAP Management Systems|Cap Management Systems|Central Valley Health Plan|Conifer MSO","Aliases":"95399|9576","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://coniferhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YIFHN","PrimaryPayerId":"CAPMN","DisplayName":"Conifer Health Solutions","Names":"AKM Medical Group|Alamitos Independent Practice Association|Alliance Health Systems|American Family Health Providers|Avalon Independent Practice Association|Brookshire Independent Practice Association|Cap Management|Employee Health Systems|Exceptional Care Medical Group (ECMG)|Family Choice Medical Group|Family Health Alliance|Fountain Valley Independent Practice Association|Greater Los Angeles Healthcare|Greater San Gabriel Valley Physicians|Hollywood Presbyterian Medical Group|Huntington Park Mission Medical Group|Lakewood Independent Practice Association|Mabuhay Medical Group|Medicina Familiar Medical Group|Mid Cities Independent Practice Association|Noble Community Medical Associates Los Angeles|Palomar Pomerado Hospital|Pasadena Primary Care Physicians Group|Premier Care of Northern California|Premier Physician Alliance|Premier Physician Network|Primary Care & Pediatric Independent Practice Association (PCP IPA)|Prudent Medical Group|Saint Agnes Medical Group|Saint Marys Independent Practice Association|Sequoia Health IPA","Aliases":"6704|7139|CAPMN|EZGDE|MDXHI","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://coniferhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YCFYQ","PrimaryPayerId":"101259","DisplayName":"ConnectiCare","Names":"CCI","Aliases":"06105|100347|101259|10303|10517|16716|4471|4969|6440|6500|78375|78375MA|A1359|BOVQB|MLNCT|MOLINA_CT","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"CT","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"WLBLT","ParentPayerGroupName":"Molina Healthcare Inc Group","WebsiteUrl":"https://www.connecticare.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JYCAS","PrimaryPayerId":"BHOCT","DisplayName":"Connecticut Behavioral Health Partnership","Names":"Connecticut BHP","Aliases":"BHOCT","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CT","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://providers.ctbhp.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SPNTZ","PrimaryPayerId":"37307","DisplayName":"Connecticut Carpenters Health Fund","Names":"","Aliases":"37307","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YAUZS","PrimaryPayerId":"TLU56","DisplayName":"Connecticut Carpenters Health Plan","Names":"","Aliases":"TLU56","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZQFIR","PrimaryPayerId":"82694","DisplayName":"ConnectiveRx","Names":"CRx|The Macaluso Group","Aliases":"1273|6517|82694","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.connectiverx.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZMHKF","PrimaryPayerId":"37135","DisplayName":"Consociate Health","Names":"Consociate Care Preferred Provider Organization|Consociate Group|Consociate Group (Decatur IL)|Consociate Group (Decatur)|Consociate Third Party Administrator","Aliases":"00413|16571|37135|3742|7557|CNSDN1","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://consociatehealth.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LFWCW","PrimaryPayerId":"12132","DisplayName":"Consociate Health for Cancer and Transplant","Names":"","Aliases":"12132","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://consociatehealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IDVPM","PrimaryPayerId":"75284","DisplayName":"Consolidated Associates Railroad","Names":"Consolidated Associations of Railroad Employees|Ecom PPO","Aliases":"10669|2233|75284|7967|CARIL|CNSRR","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NM","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://carehealthplan.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XDZGZ","PrimaryPayerId":"CTPRC","DisplayName":"Consolidated Tribal Health Project","Names":"","Aliases":"CTPRC","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cthp.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PJZGH","PrimaryPayerId":"08680","DisplayName":"Container Graphics Corporation","Names":"","Aliases":"08680","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.containergraphics.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VINAX","PrimaryPayerId":"J1041","DisplayName":"Contech Construction Products","Names":"","Aliases":"J1041","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TGXDN","PrimaryPayerId":"CH201","DisplayName":"Contessa Health","Names":"Amedisys","Aliases":"1221|4519|99433|CH201","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://contessahealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YOIYM","PrimaryPayerId":"CH101","DisplayName":"Contessa Health Security Health Plan","Names":"Amedisys","Aliases":"CH101","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://contessahealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GWEVU","PrimaryPayerId":"J1042","DisplayName":"Continental Airlines","Names":"","Aliases":"J1042","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"THDRS","PrimaryPayerId":"CGIMS","DisplayName":"Continental General","Names":"Continental General Insurance Company","Aliases":"10540|71404|CGIMS","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TX","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://cgic.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XZVWZ","PrimaryPayerId":"J1274","DisplayName":"Continental Western Insurance Company (CWG)","Names":"Firemen's Insurance Company|Union Insurance Company","Aliases":"J1274","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JTNPL","PrimaryPayerId":"CCMHP","DisplayName":"Contra Costa Behavioral Health Plan","Names":"","Aliases":"CCMHP","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cchealth.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VEYSG","PrimaryPayerId":"J1715","DisplayName":"Contra Costa County Schools Insurance Group (CCCSIG)","Names":"","Aliases":"J1715","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QBSYB","PrimaryPayerId":"CCHS","DisplayName":"Contra Costa Health Plan","Names":"","Aliases":"15545|6691|6795|CCHS|CNTRA|Z1800","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cchealth.org","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"ONE_CLICK","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KPYEP","PrimaryPayerId":"J1043","DisplayName":"Convergys Corporation","Names":"","Aliases":"J1043","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TJCKL","PrimaryPayerId":"CCHP1","DisplayName":"Cook Children's Health Plan (CHIP)","Names":"Cook Children's Health Plan","Aliases":"10610|4751|8924|CCHP1|COOKCH","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"TX","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cookchp.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WOEDV","PrimaryPayerId":"CCHP9","DisplayName":"Cook Children's Health Plan (STAR)","Names":"Cook Children's Health Plan STAR|Cook Children's Star Plan","Aliases":"4752|9580|CCHP9","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TX","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cookchp.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QJRPY","PrimaryPayerId":"35149","DisplayName":"Cook Group Health Plan","Names":"","Aliases":"35149|3995|4460","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IN","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"http://www.cookmedicalclaims.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QJKXF","PrimaryPayerId":"60065","DisplayName":"Cook Medical Group","Names":"Cook County Health","Aliases":"4044|60065|8773|COOKG","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://cookmedicalgroup.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LFVGY","PrimaryPayerId":"19416","DisplayName":"CopperPoint Insurance Companies","Names":"","Aliases":"19416|9729","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.copperpoint.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZDWGL","PrimaryPayerId":"J2093","DisplayName":"Copperpoint Mutual Insurance Company","Names":"","Aliases":"J2093","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CKOUZ","PrimaryPayerId":"22284","DisplayName":"Coralisle Group","Names":"CG Coralisle|Colonial HealthCare|Colonial Healthcare|Colonial Medical","Aliases":"00320|22284|5811|8999","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NATIONAL","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://international.cgcoralisle.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KAWDJ","PrimaryPayerId":"22286","DisplayName":"Coralisle Group","Names":"BritCay|British Caymanian Insurance Company Limited","Aliases":"1218|22286|8567","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cgcoralisle.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PEUXY","PrimaryPayerId":"22287","DisplayName":"Coralisle Group","Names":"CG United (Barbados Eastern Carribean)|Colonial Medical Eastern Carribean","Aliases":"22287|4043|8772","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cgcoralisle.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QBPFA","PrimaryPayerId":"22285","DisplayName":"Coralisle Group","Names":"Atlantic Medical Insurance","Aliases":"22285|6429|9562","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cgcoralisle.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KNCOK","PrimaryPayerId":"58231","DisplayName":"Core Management Resources GP","Names":"Core Management Resources General Partnership","Aliases":"3856|3923|58231","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.corehealthbenefits.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AUWOS","PrimaryPayerId":"J1942","DisplayName":"CoreCivic","Names":"CCA|Corrections Corporation of America","Aliases":"J1942","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.corecivic.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IQDRH","PrimaryPayerId":"55962","DisplayName":"CoreCivic","Names":"","Aliases":"5062|55962|9107","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.corecivic.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"POSQK","PrimaryPayerId":"10311","DisplayName":"CoreSource (FMH)","Names":"CoreSource (Free-standing Medical Hospital)|Medicare Tennessee Part A","Aliases":"10311|1506|5525|CORSE00204|MEDX","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"KS","Programs":"","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SKNXH","PrimaryPayerId":"J1517","DisplayName":"Corinthian Colleges","Names":"","Aliases":"J1517","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GABQN","PrimaryPayerId":"16615","DisplayName":"Cornerstone Benefit Administrator","Names":"","Aliases":"16615","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cornerstonebenefits.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AYDPQ","PrimaryPayerId":"RP111","DisplayName":"Cornerstone Hospice and Palliative Care, Inc.","Names":"","Aliases":"1829|3623|RP111","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"59-2330114","CoverageTypes":"medical","OperatingStates":"FL|GA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://cornerstonehospice.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EKUBA","PrimaryPayerId":"CB268","DisplayName":"Cornerstone Preferred Resources","Names":"CPR","Aliases":"00254|6863|7643|CB268","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TX","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cprtpa.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ENRNR","PrimaryPayerId":"56116","DisplayName":"Corporate Benefit Services (90 Degree Benefits)","Names":"Corporate Benefits Service, Inc|Corporate Benefits Service, Inc (North Carolina)","Aliases":"3832|3939|56116|CPBNS|CPBNSV","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"NC","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://90degreebenefits.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RNEFT","PrimaryPayerId":"64270","DisplayName":"Corporate Plan Management Incorporated","Names":"","Aliases":"00107|00486|1156|1668|64270","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RQEBO","PrimaryPayerId":"GCHCAH","DisplayName":"CorrectCare (Georgia Correctional Healthcare Adult Health)","Names":"CorrectCare Integrated Health","Aliases":"GCHCAH","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"GA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://correctcare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JSTOP","PrimaryPayerId":"LADOC","DisplayName":"CorrectCare (Louisiana Prisons and Parish Jails)","Names":"CorrectCare Integrated Health","Aliases":"7292|9615|LADOC","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"LA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://correctcare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WBRPN","PrimaryPayerId":"CCIH","DisplayName":"CorrectCare Integrated Health","Names":"California Prison HealthCare Services|Health Net, Inc.","Aliases":"3658|5862|CCIH|CCIH0|ZP199","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://correctcare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LITRK","PrimaryPayerId":"CCIHJAIL","DisplayName":"CorrectCare Integrated Health (Non-Louisiana Jails)","Names":"","Aliases":"CCIHJAIL","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://correctcare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EXVSD","PrimaryPayerId":"PHPMC","DisplayName":"Correctional Health Partners","Names":"","Aliases":"00136|5609|6241|PHPMC","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA|CO|OR","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.chpdelivers.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZMUYU","PrimaryPayerId":"J1044","DisplayName":"Correctional Management Services","Names":"","Aliases":"J1044","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RXVUO","PrimaryPayerId":"J1045","DisplayName":"Corrections Corporation of America","Names":"","Aliases":"J1045","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JQVLD","PrimaryPayerId":"JQVLD","DisplayName":"CorVel Single Payor ID – Workers Compensation","Names":"CorVel Single Payor ID","Aliases":"JQVLD","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION|AUTOMOBILE_MEDICAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.corvel.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DKTCG","PrimaryPayerId":"J1683","DisplayName":"Cottingham and Butler Claims Services Incorporated","Names":"","Aliases":"J1683","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NODWK","PrimaryPayerId":"J1684","DisplayName":"Country Casualty Insurance Company","Names":"","Aliases":"J1684","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XGACO","PrimaryPayerId":"J1712","DisplayName":"Country Insurance Modern Services Casualty Insurance Company","Names":"","Aliases":"J1712","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IHRPC","PrimaryPayerId":"J1572","DisplayName":"Country Insurance Mountain States Insurance","Names":"","Aliases":"J1572","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CSDIZ","PrimaryPayerId":"J1591","DisplayName":"Country Insurance Mutual Service Insurance Preferred Insurance Company","Names":"","Aliases":"J1591","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QFWYT","PrimaryPayerId":"CNTYF","DisplayName":"Country Life Insurance Company","Names":"Country Financial","Aliases":"10670|62553|CNTYF","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"IL","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"PYBIV","ParentPayerGroupName":"Country Insurance & Financial Services Group","WebsiteUrl":"https://www.countryfinancial.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YVXNZ","PrimaryPayerId":"J1702","DisplayName":"Country Mutual Insurance Company","Names":"","Aliases":"J1702","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YIJDR","PrimaryPayerId":"J1705","DisplayName":"Country Preferred Insurance Company","Names":"","Aliases":"J1705","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LNFKB","PrimaryPayerId":"CMSP1","DisplayName":"County Medical Services Program","Names":"Advanced Medical Management","Aliases":"7223|8639|CMSP1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://cmsp.amm.cc","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SPXWK","PrimaryPayerId":"AMM21","DisplayName":"County of Fresno","Names":"AMM|Advanced Medical Management|Fresno County","Aliases":"AMM21","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.amm.cc","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SBERT","PrimaryPayerId":"J1603","DisplayName":"County of Humboldt (California)","Names":"","Aliases":"J1603","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DXWSO","PrimaryPayerId":"J1935","DisplayName":"County of Kern","Names":"","Aliases":"J1935","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JHKHE","PrimaryPayerId":"J1723","DisplayName":"County of Los Angeles (AIMS Santa Clarita)","Names":"County of Los Angeles California (4000/5000)","Aliases":"J1723","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MDTVC","PrimaryPayerId":"J1722","DisplayName":"County of Los Angeles (Tristar Santa Ana)","Names":"County of Los Angeles California (2000)","Aliases":"J1722","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IKXAM","PrimaryPayerId":"J1625","DisplayName":"County of Los Angeles California","Names":"County of Los Angeles California (1000)","Aliases":"J1625","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HBJAL","PrimaryPayerId":"AMM20","DisplayName":"County of Sacramento - Emergency Medical Services Fund","Names":"County of Sacramento - EMSF|Sacramento County Maddy EMS Fund|Sacramento County Physician Emergency Medical Services","Aliases":"9221|AMM20","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://sacpems.amm.cc","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TGKWY","PrimaryPayerId":"J1513","DisplayName":"County of San Diego","Names":"","Aliases":"J1513","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OJOGJ","PrimaryPayerId":"J1631","DisplayName":"County of Santa Barbara (California)","Names":"County Santa Barbara CSAC (California)|County Santa Barbara Non-CSAC (California)","Aliases":"J1631","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FHLFE","PrimaryPayerId":"J1616","DisplayName":"County of Shasta (California)","Names":"","Aliases":"J1616","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YZTEF","PrimaryPayerId":"J1662","DisplayName":"County of Sonoma (California)","Names":"","Aliases":"J1662","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MBJKY","PrimaryPayerId":"J1666","DisplayName":"County of Tulare (California)","Names":"","Aliases":"J1666","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ODJMF","PrimaryPayerId":"06541","DisplayName":"CountyCare","Names":"Cook County Health|County Care Behavioral|CountyCare Health Plan","Aliases":"06541|11143|3170|42138|7738|9688|CTYCHP|CTYCR","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://countycare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YXKYE","PrimaryPayerId":"J8JVHL","DisplayName":"CoventryCares - Aetna Better Health of MI (J8) - JVHL","Names":"Aetna Better Health of Michigan (J8) - JVHL|Aetna Better Health of Michigan (J8) - Joint Venture Hospital Laboratory|CoventryCares - JVHL|Omni - JVHL","Aliases":"2759|27590|4995|J8JVHL|J8JVL","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"ONE_CLICK","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"ONE_CLICK","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZBDYA","PrimaryPayerId":"SCNCC","DisplayName":"CoventryCares - WV","Names":"CoventryCares - WV","Aliases":"10215|SCNCC","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JEWLK","PrimaryPayerId":"98480","DisplayName":"COVET","Names":"","Aliases":"98480","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PQNSD","PrimaryPayerId":"IHS21","DisplayName":"Covet Health","Names":"NextPA","Aliases":"00385|1861|3909|IHS21","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.covethealth.io","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RTUML","PrimaryPayerId":"98477","DisplayName":"Cow Creek Band of Umpqua Tribe of Indians (CCBUTI)","Names":"","Aliases":"98477|ZP6118","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"OR","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cowcreek-nsn.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ADZAT","PrimaryPayerId":"J1046","DisplayName":"Coworx Staffing LLC","Names":"CoWorx Staffing LLC","Aliases":"J1046","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.coworxstaffing.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GSAYR","PrimaryPayerId":"00019","DisplayName":"Cox HealthPlans","Names":"Cox Health Plan|Cox Health Systems Insurance Company|CoxHealth","Aliases":"00019|00019MA|00119|00436|10838|2482|3200|9687|COXHP","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"MO","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.coxhealthplans.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KVJSM","PrimaryPayerId":"IHS28","DisplayName":"CoxHealth Network","Names":"Community Preferred Healthcare","Aliases":"IHS28","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.coxhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TPRLC","PrimaryPayerId":"CREA8","DisplayName":"Create Health Plans","Names":"Brighton Health Plan Solutions|Create","Aliases":"1279|6525|CREA8","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.magnacare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WEZYK","PrimaryPayerId":"37320","DisplayName":"Creative Plan Administrators","Names":"CPA","Aliases":"37320","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cpatpa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NBRUP","PrimaryPayerId":"56213","DisplayName":"Crescent Health Solutions","Names":"","Aliases":"56213|56213MA|5664|6289","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.crescenthealthsolutions.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GHNCM","PrimaryPayerId":"33213","DisplayName":"Crossway HealthShare","Names":"","Aliases":"33213","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.crosswayhealthshare.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KHAHY","PrimaryPayerId":"MPM35","DisplayName":"Crown City Medical Group (CCMG)","Names":"Crown City Medical Group|MedPOINT Management","Aliases":"7800|8564|MPM35","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medpointmanagement.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NPRYL","PrimaryPayerId":"31348","DisplayName":"Crum and Forster","Names":"C&F|Crum & Forster Indemnity Company|Crum and Forster Indemnity Company|North River Insurance Company|United States Fire Insurance Company","Aliases":"00418|14314|14327|31348","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cfins.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WQVPL","PrimaryPayerId":"WQVPL","DisplayName":"Crum and Forster – Workers Compensation","Names":"Crum and Forster (WC)","Aliases":"WQVPL","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZCFJC","PrimaryPayerId":"69933","DisplayName":"Crumdale Claims Solutions","Names":"Crumdale Specialty","Aliases":"1924|2172|69933","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://crumdalespecialty.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HYXAU","PrimaryPayerId":"CX054","DisplayName":"CSEA Employee Benefit Fund","Names":"","Aliases":"CX054","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cseaebf.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IVMGL","PrimaryPayerId":"Z95707","DisplayName":"CSI Life Insurance Company","Names":"Berkshire Hathaway|CSI Life Insurance Company|Central States Indemnity|Central States Indemnity Co. of Omaha","Aliases":"10744|11160|34186|4626|6145|CTLST|SCYNE|Z95701|Z95707","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"AZ|CO|GA|IL|MS|NC|SC|TN|TX","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"IMHGJ","ParentPayerGroupName":"Berkshire Hathaway Group","WebsiteUrl":"https://csi-omaha.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VLGPQ","PrimaryPayerId":"VLGPQ","DisplayName":"CSI Life Insurance Company – Workers Compensation","Names":"CSI Life Insurance Company (WC)","Aliases":"VLGPQ","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MIKEM","PrimaryPayerId":"59144","DisplayName":"Culinary Health Fund","Names":"Culinary Health Fund UNITE HERE Health|Mutual Group The United States|Unite Here Health – Las Vegas","Aliases":"10775|10775T|4073|59144|8817|UNITE","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NV","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.culinaryhealthfund.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OCDPF","PrimaryPayerId":"59140","DisplayName":"Culinary Health Fund","Names":"Health Plan Services|The Mutual Group","Aliases":"2953|59140|8431","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NV","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.culinaryhealthfund.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RSQEW","PrimaryPayerId":"CC304","DisplayName":"Curaechoice","Names":"","Aliases":"6083|9243|CC304","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://curaechoice.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ESEPO","PrimaryPayerId":"CURTV","DisplayName":"Curative","Names":"","Aliases":"14515|8055|9774|CURTV","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://curative.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"ONE_CLICK","ElectronicFundsTransferEnrollmentTimeframe":"DAYS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PHMJY","PrimaryPayerId":"82056","DisplayName":"Custom Design Benefits","Names":"","Aliases":"00053|2103|5936|82056","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.customdesignbenefits.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AFBPR","PrimaryPayerId":"J1457","DisplayName":"CVS Caremark Minute Clinic","Names":"CVS Pharmacy","Aliases":"J1457","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cvs.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AEKJM","PrimaryPayerId":"57080","DisplayName":"CWIBenefits","Names":"CWI Benefits|ClaimsWare Incorporated|ManageMed","Aliases":"57080","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"http://www.cwibenefits.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QRFCL","PrimaryPayerId":"07689","DisplayName":"Cypress Benefit (Lucent Health)","Names":"Cypress Benefit Administrators|Global Care Incorporated|Insurance Benefit Administrators|University of Michigan Health Plan","Aliases":"07689|13113|1937|2720|4006|8728|CYPRESS ADMINIST","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://lucenthealth.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CEJBL","PrimaryPayerId":"TLZ04","DisplayName":"Cypress Dental","Names":"Cypress Ancillary Benefits","Aliases":"TLZ04","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://cypressadmin.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BETDS","PrimaryPayerId":"J1433","DisplayName":"Dakota Fire","Names":"EMC Property and Casualty Liability Only|EMCASCO Insurance Company Liability Only|Employers Mutual Casualty Liability Only|Hamilton Mutual Liability|Illinois EMCASCO|Union Insurance Company of Providence","Aliases":"J1433","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BOLJL","PrimaryPayerId":"J1494","DisplayName":"Dallas Independent School District","Names":"","Aliases":"J1494","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NMAKI","PrimaryPayerId":"J1051","DisplayName":"Danaher Corporation","Names":"","Aliases":"J1051","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZDXJL","PrimaryPayerId":"MGCRG","DisplayName":"Daniel H. Cook Associates","Names":"","Aliases":"2847|7978|82347|MGCRG","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IN","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.siho.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EPAUK","PrimaryPayerId":"J1936","DisplayName":"Darigold","Names":"","Aliases":"J1936","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JKPDT","PrimaryPayerId":"524291","DisplayName":"Davies","Names":"Davies Group|Johns Eastern Company Inc","Aliases":"524291","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://davies-group.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZLWXV","PrimaryPayerId":"Z5152","DisplayName":"Davies (Alternative Service Concepts LLC)","Names":"","Aliases":"Z5152","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://davies-group.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QKZWY","PrimaryPayerId":"00157","DisplayName":"Davis Vision","Names":"GE Vision Care Benefits|Versant Health|Versant Health Holdco","Aliases":"00157|5702|V0QJA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://davisvision.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YGFAU","PrimaryPayerId":"J1058","DisplayName":"De Bartolos Incorporated","Names":"","Aliases":"J1058","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NKORC","PrimaryPayerId":"41822","DisplayName":"Dean Health Plan","Names":"Chorus Community Health Plan (CCHP)|Dean Advantage|Dean Commercial|Dean Cost|Dean Select|Medica - Dean Health Plan|Medica Employee Health Plan|Medica SSM Health Employee Health Plan|Prevea360|WellFirst","Aliases":"10653|14468|1497|16566|1870|3581|39113|3921|41822|DEAN1|DEANH|DEANHP|WQXDR","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"WI","Programs":"COMMERCIAL|MEDICARE","PtanRequired":"false","ParentPayerGroupId":"NORHW","ParentPayerGroupName":"Medica Group","WebsiteUrl":"https://deancare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WMJZG","PrimaryPayerId":"36123","DisplayName":"Dearborn Group","Names":"DLIC|Dearborn National","Aliases":"36123","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"vision","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.mydearborngroup.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LKRFM","PrimaryPayerId":"07035","DisplayName":"DeCare Dental","Names":"DeCare Dental Health Insurance","Aliases":"07035","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.decare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SVOBF","PrimaryPayerId":"93742","DisplayName":"DeCare Dental","Names":"Securian Dental","Aliases":"10792|93742|93743","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.decare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SCFMO","PrimaryPayerId":"DCENT","DisplayName":"Decent Health","Names":"","Aliases":"7098|9711|DCENT","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IPJIL","PrimaryPayerId":"J1681","DisplayName":"Del Taco LLC","Names":"","Aliases":"J1681","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MFGXG","PrimaryPayerId":"77124","DisplayName":"Delano IPA","Names":"","Aliases":"2048|77124|8187","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VOZUG","PrimaryPayerId":"38261","DisplayName":"Dell Children's Health Plan","Names":"DCHP - Texas Medicaid|United States Health and Life Insurance Company","Aliases":"38261|7061|74272|9444","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"TX","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://dellchildrenshealthplan.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VALYM","PrimaryPayerId":"J1955","DisplayName":"Delos","Names":"","Aliases":"J1955","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JUWET","PrimaryPayerId":"IDIND","DisplayName":"Delta Dental (Individual Plans)","Names":"Delta Dental of Colorado (Individual)|Delta Dental of Connecticut (Individual)|Delta Dental of Illinois (Individual)|Delta Dental of New Jersey (Individual)|Delta Dental of Virginia (Individual)|Delta Dental of Wisconsin (Individual)","Aliases":"IDIND|WDENC","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://my.deltadentalcoversme.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VFNLG","PrimaryPayerId":"94276","DisplayName":"Delta Dental - DDIC","Names":"Delta Dental of Alabama|Delta Dental of Florida|Delta Dental of Georgia|Delta Dental of Louisiana|Delta Dental of Mississippi|Delta Dental of Montana|Delta Dental of Nevada|Delta Dental of Texas|Delta Dental of Utah","Aliases":"10709|10710|10711|10712|10713|10714|10715|10716|10717|94276|DDAL1|DDALB|DDFL1|DDFLA|DDGA1|DDGAG|DDLA1|DDLAA|DDMS1|DDMT1|DDNV1|DDTX1|DDUT1","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"OVER_4_WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"AL|FL|GA|LA|MS|MT|NV|TX|UT","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www1.deltadentalins.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZBNYP","PrimaryPayerId":"86027","DisplayName":"Delta Dental Arizona","Names":"","Aliases":"11200|86027","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"OVER_4_WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"AZ","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.deltadentalaz.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UIQWZ","PrimaryPayerId":"CDAR1","DisplayName":"Delta Dental Arkansas","Names":"Delta Dental Plan of Arkansas|Delta Dental of Arkansas","Aliases":"11201|1560|ARIND|CDAR1|DDPAR|DELAR","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"OVER_4_WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"AR","Programs":"","PtanRequired":"false","ParentPayerGroupId":"FVLUL","ParentPayerGroupName":"Renaissance Health Service Corporation Group","WebsiteUrl":"https://www.deltadentalar.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CTWKL","PrimaryPayerId":"DDPCO","DisplayName":"Delta Dental Colorado","Names":"Delta Dental of Colorado","Aliases":"10718|3897|84056|DDPCO","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"OVER_4_WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"CO","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.deltadentalco.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LEOMO","PrimaryPayerId":"05030","DisplayName":"Delta Dental Illinois","Names":"Delta Dental of Illinois (Group Plans)","Aliases":"05030|11192|47589|47598","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"OVER_4_WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"IL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"MHNIC","ParentPayerGroupName":"Delta Dental Plan of Illinois Group","WebsiteUrl":"https://www.deltadentalil.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZNCLU","PrimaryPayerId":"DELTI","DisplayName":"Delta Dental Indiana","Names":"","Aliases":"CDIN1|DDPI|DDPIN|DELTI","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"true","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"OVER_4_WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"IN","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.deltadentalin.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NEPKN","PrimaryPayerId":"DELTA","DisplayName":"Delta Dental Michigan","Names":"","Aliases":"10724|46094|CDMI0|DDPM|DDPMI|DELTA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"OVER_4_WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"MI","Programs":"","PtanRequired":"false","ParentPayerGroupId":"FVLUL","ParentPayerGroupName":"Renaissance Health Service Corporation Group","WebsiteUrl":"https://www.deltadentalmi.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZBLXN","PrimaryPayerId":"DELTM","DisplayName":"Delta Dental New Mexico","Names":"","Aliases":"85022|DDPNM|DELTM","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"OVER_4_WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"NM","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.deltadentalnm.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NULEV","PrimaryPayerId":"11198","DisplayName":"Delta Dental New York","Names":"Delta Dental of Delaware - Only ERA|Delta Dental of District of Columbia (D.C.) - Only ERA|Delta Dental of Puerto Rico - Only ERA|Delta Dental of West Virginia - Only ERA","Aliases":"10729|10737|11198","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"OVER_4_WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"NY","Programs":"","PtanRequired":"false","ParentPayerGroupId":"YMWPK","ParentPayerGroupName":"Dentegra Group","WebsiteUrl":"https://www1.deltadentalins.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ODTAS","PrimaryPayerId":"56101","DisplayName":"Delta Dental North Carolina","Names":"Delta Dental of Minnesota - Only ERA|Delta Dental of Nebraska - Only ERA|Delta Dental of New Mexico - Only ERA|Delta Dental of Ohio - Only ERA|Delta Dental of Tennessee - Only ERA","Aliases":"10730|56101|DDNC","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"OVER_4_WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"NC","Programs":"","PtanRequired":"false","ParentPayerGroupId":"FVLUL","ParentPayerGroupName":"Renaissance Health Service Corporation Group","WebsiteUrl":"https://deltadentalnc.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BWDKF","PrimaryPayerId":"DDAK1","DisplayName":"Delta Dental of Alaska","Names":"","Aliases":"DDAK1","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.deltadentalak.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QNJCP","PrimaryPayerId":"77777","DisplayName":"Delta Dental of California","Names":"Delta Dental California","Aliases":"10705|77777|DDICA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"OVER_4_WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"94-1461312","CoverageTypes":"dental","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www1.deltadentalins.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CLFKN","PrimaryPayerId":"51022","DisplayName":"Delta Dental of Delaware","Names":"","Aliases":"10720|51022","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"OVER_4_WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"DE","Programs":"","PtanRequired":"false","ParentPayerGroupId":"YMWPK","ParentPayerGroupName":"Dentegra Group","WebsiteUrl":"https://www1.deltadentalins.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KXSMC","PrimaryPayerId":"52147","DisplayName":"Delta Dental of District of Columbia (D.C.)","Names":"Delta Dental of District of Columbia","Aliases":"52147","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"OVER_4_WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"DC","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www1.deltadentalins.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WPKHG","PrimaryPayerId":"82029","DisplayName":"Delta Dental of Idaho","Names":"","Aliases":"82029","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"ID","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.deltadentalid.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FZJTM","PrimaryPayerId":"CDIA1","DisplayName":"Delta Dental of Iowa","Names":"","Aliases":"11205|CDIA1","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"IA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.deltadentalia.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VUQZE","PrimaryPayerId":"CDIAM","DisplayName":"Delta Dental of Iowa - Dental Wellness Plan (DWP)","Names":"Delta Dental of Iowa - Dental Wellness Plan","Aliases":" CDIAM|CDIAM","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"IA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.deltadentalia.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RUPCP","PrimaryPayerId":"CDKS1","DisplayName":"Delta Dental of Kansas","Names":"","Aliases":"CDKS1|DELTA DENTAL OF KANSAS|E3960","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"OVER_4_WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"KS","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://deltadentalks.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HUGWC","PrimaryPayerId":"CDKY1","DisplayName":"Delta Dental of Kentucky","Names":"","Aliases":"9466|CDKY1","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"OVER_4_WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"KY","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.deltadentalky.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WCHMT","PrimaryPayerId":"23166","DisplayName":"Delta Dental of Maryland","Names":"DDMD|Delta Dental of Maryland","Aliases":"10723|23166","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"OVER_4_WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"DE|MD|NY|PA|WV|DC","Programs":"","PtanRequired":"false","ParentPayerGroupId":"YMWPK","ParentPayerGroupName":"Dentegra Group","WebsiteUrl":"https://www1.deltadentalins.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YKHDJ","PrimaryPayerId":"04614","DisplayName":"Delta Dental of Massachusetts","Names":"","Aliases":"04614|11212|DDLMA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"OVER_4_WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"MA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.deltadentalma.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VTXBJ","PrimaryPayerId":"07000","DisplayName":"Delta Dental of Minnesota","Names":"3M Dental Services|Benefits, Inc.|Blue Plus Public Programs|DCASI|Delta Dental of North Dakota|Delta Minnesota DeltaCare Claims|Delta Minnesota National Claims|Delta Minnesota/Wells Fargo Claims|Delta USA Dental Claims-Plan 005 MN|NWA Claims|South Country Health Alliance|Target Dental Services|UCare","Aliases":"07000|07029|10725|10731|CDMN1|CDND1","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"OVER_4_WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"MN","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"ERWGW","ParentPayerGroupName":"Stratacor Group","WebsiteUrl":"https://www.deltadentalmn.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RWGFP","PrimaryPayerId":"43090","DisplayName":"Delta Dental of Missouri","Names":"","Aliases":"12254|43090","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"MO","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.deltadentalmo.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NBTUA","PrimaryPayerId":"07027","DisplayName":"Delta Dental of Nebraska","Names":"","Aliases":"07025|07027|10726|CDNE1","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"OVER_4_WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"NE","Programs":"","PtanRequired":"false","ParentPayerGroupId":"ERWGW","ParentPayerGroupName":"Stratacor Group","WebsiteUrl":"https://www.deltadentalne.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ACTZY","PrimaryPayerId":"22189","DisplayName":"Delta Dental of New Jersey","Names":"Delta Dental of Connecticut","Aliases":"00372|10719|10727|22189|8787","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"NJ","Programs":"","PtanRequired":"false","ParentPayerGroupId":"AKHYL","ParentPayerGroupName":"Delta Dental Plan of New Jersey Group","WebsiteUrl":"https://www.deltadentalnj.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WGYLY","PrimaryPayerId":"02027","DisplayName":"Delta Dental of Northeast","Names":"Delta Dental of Maine|Delta Dental of New Hampshire|Delta Dental of Northeast (Maine, New Hampshire, Vermont)|Delta Dental of Vermont|Northeast Delta Dental","Aliases":"02027","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"OVER_4_WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"ME|NH|VT","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.nedelta.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CTETS","PrimaryPayerId":"DELTO","DisplayName":"Delta Dental of Ohio","Names":"","Aliases":"10732|CDOH1|DDPO|DDPOH|DELTO","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"OVER_4_WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"OH","Programs":"","PtanRequired":"false","ParentPayerGroupId":"FVLUL","ParentPayerGroupName":"Renaissance Health Service Corporation Group","WebsiteUrl":"https://www.deltadentaloh.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SMKZK","PrimaryPayerId":"DELOK","DisplayName":"Delta Dental of Oklahoma","Names":"","Aliases":"11175|22229|CD0K1|CDOK1|DDPOK|DELOK","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"OK","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.deltadentalok.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VOGRS","PrimaryPayerId":"CDOR1","DisplayName":"Delta Dental of Oregon","Names":"","Aliases":"CDOR1","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"OVER_4_WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|vision","OperatingStates":"OR","Programs":"","PtanRequired":"false","ParentPayerGroupId":"CPLAP","ParentPayerGroupName":"Oregon Dental Service Group","WebsiteUrl":"https://www.deltadentalor.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BHAUS","PrimaryPayerId":"10733","DisplayName":"Delta Dental of Pennsylvania","Names":"DDPA","Aliases":"10733|DDPA1","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"OVER_4_WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"PA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www1.deltadentalins.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TQMVS","PrimaryPayerId":"66043","DisplayName":"Delta Dental of Puerto Rico","Names":"","Aliases":"66043|680652604","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"OVER_4_WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"68-0652604","CoverageTypes":"dental","OperatingStates":"PR","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://deltadentalpr.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YRQLF","PrimaryPayerId":"05029","DisplayName":"Delta Dental of Rhode Island","Names":"","Aliases":"05029|10734","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"RI","Programs":"","PtanRequired":"false","ParentPayerGroupId":"BTYTP","ParentPayerGroupName":"Delta Dental of Rhode Island Group","WebsiteUrl":"https://www.deltadentalri.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PJXWD","PrimaryPayerId":"43091","DisplayName":"Delta Dental of South Carolina","Names":"Delta Dental of SC","Aliases":"14434|43091","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"OVER_4_WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"SC","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.deltadentalcoversme.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GCTVB","PrimaryPayerId":"54097","DisplayName":"Delta Dental of South Dakota","Names":"","Aliases":"54097","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"SD","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://southdakota.deltadental.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HZHVL","PrimaryPayerId":"SDCMS","DisplayName":"Delta Dental of South Dakota (Medicare Advantage)","Names":"","Aliases":"SDCMS","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://southdakota.deltadental.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VDXNK","PrimaryPayerId":"DELTN","DisplayName":"Delta Dental of Tennessee","Names":"","Aliases":"10735|22004|CDTN1|DDPTN|DELTN","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"OVER_4_WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"TN","Programs":"","PtanRequired":"false","ParentPayerGroupId":"FVLUL","ParentPayerGroupName":"Renaissance Health Service Corporation Group","WebsiteUrl":"https://deltadentaltn.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NPCFC","PrimaryPayerId":"CDVA1","DisplayName":"Delta Dental of Virginia","Names":"","Aliases":"10736|54084|CDVA1","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"OVER_4_WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"VA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"TCEZJ","ParentPayerGroupName":"Corvesta Group","WebsiteUrl":"https://deltadentalva.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DAHVM","PrimaryPayerId":"91062","DisplayName":"Delta Dental of Washington","Names":"","Aliases":"10738|91062|DDWA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"OVER_4_WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"WA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.deltadentalwa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KVPCN","PrimaryPayerId":"31096","DisplayName":"Delta Dental of West Virginia","Names":"","Aliases":"10739|31096","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"OVER_4_WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"55-0523124","CoverageTypes":"dental","OperatingStates":"WV","Programs":"","PtanRequired":"false","ParentPayerGroupId":"YMWPK","ParentPayerGroupName":"Dentegra Group","WebsiteUrl":"https://www1.deltadentalins.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZFVJG","PrimaryPayerId":"39069","DisplayName":"Delta Dental of Wisconsin","Names":"","Aliases":"11203|39069","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"OVER_4_WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"WI","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.deltadentalwi.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KUWAD","PrimaryPayerId":"CDWY1","DisplayName":"Delta Dental of Wyoming","Names":"","Aliases":"16759|CDWY1","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"WY","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.deltadentalwy.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KGQBX","PrimaryPayerId":"DHS01","DisplayName":"Delta Health Systems","Names":"","Aliases":"14464|2486|3931|DHS01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://deltatpa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UXWYN","PrimaryPayerId":"94235","DisplayName":"Delta Health Systems","Names":"Delta Health","Aliases":"94235","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.deltahealthsystems.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YJTYI","PrimaryPayerId":"87068","DisplayName":"Delta Health Systems","Names":"P5 Health Plan Solutions Utah","Aliases":"2217|2969|87068","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"UT","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.deltahealthsystems.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GABRZ","PrimaryPayerId":"CDCA2","DisplayName":"DeltaCare USA (Claims)","Names":"DeltaCare USA (claims)|DeltaCare USA / PMI - Claims|DeltaCare USA / Private Medical Insurance - Claims","Aliases":"10740|CDCA2|DDCA2","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"OVER_4_WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www1.deltadentalins.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WLGXS","PrimaryPayerId":"CDCAP","DisplayName":"DeltaCare USA (Encounters)","Names":"DeltaCare USA / PMI - Encounters|DeltaCare USA / Pacific Mutual Insurance - Encounters","Aliases":"10741|CDCAP|DDCA3","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www1.deltadentalins.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KIGIU","PrimaryPayerId":"04356","DisplayName":"DentaQuest - Group","Names":"Dental Care Plus (DentaQuest)|Dentalcare Plus - Group","Aliases":"04356|CFNEU|DCP01","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"OVER_4_WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.dentaquest.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KZSME","PrimaryPayerId":"CX014","DisplayName":"DentaQuest - Individual","Names":"DentaQuest|Dentalcare Plus - Individual|Doral Dental of Wisconsin|Medicaid Illinois Dental|Tenn Dent","Aliases":"10780|10794|12240|62154|CKIL1|CKKY3|CX014|CX052|DWYCM|DXCDN|LJHPT","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"OVER_4_WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"TN","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.dentaquest.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DLHEF","PrimaryPayerId":"88888","DisplayName":"Dentegra","Names":"","Aliases":"88888","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SULMF","PrimaryPayerId":"UTUDD","DisplayName":"Dentist Direct","Names":"","Aliases":"00227|UTUDD","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://portal.usdentistdirect.com/provider/provider_login","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BPOZO","PrimaryPayerId":"84133","DisplayName":"Denver Health Medical Plan","Names":"DHMP|Denver Health and Hospital Authority","Aliases":"2433|2943|84133","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.denverhealthmedicalplan.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MUYGT","PrimaryPayerId":"84135","DisplayName":"Denver Health Medical Plan","Names":"DHMP|Denver Health - Indigent|Elevate Exchange","Aliases":"10331|3936|4285|65456|84134|84135|DNVHMP","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CO","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.denverhealthmedicalplan.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VJMOK","PrimaryPayerId":"84131","DisplayName":"Denver Health Medical Plan Incorporated (Medicare Choice)","Names":"","Aliases":"1232|4549|84131|84131MA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CO","Programs":"COMMERCIAL|MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.denverhealthmedicalplan.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QVFJL","PrimaryPayerId":"77104","DisplayName":"Department of Labor Black Lung","Names":"DCMWC|Division of Coal Mine Workers' Compensation","Aliases":"77104","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NATIONAL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://owcpmed.dol.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HENXT","PrimaryPayerId":"DSCYF","DisplayName":"Department of Services for Children Youth and their Families","Names":"Delaware Children's Department","Aliases":"5039|8884|DSCYF","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"DE","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://kids.delaware.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KYWBE","PrimaryPayerId":"10578","DisplayName":"Deseret Mutual Benefit Administrators (DMBA)","Names":"Deseret Mutual Benefit Administrators","Aliases":"10578|12X35|DMBA|DMBAU|DX214|SX105|TFQ56|Z1013","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"ONE_CLICK","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"ONE_CLICK","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"true","DentalClaimEnrollmentType":"ONE_CLICK","DentalClaimEnrollmentTimeframe":"WEEKS","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"UT","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"MZRGB","ParentPayerGroupName":"Beneficial Life Group","WebsiteUrl":"https://www.dmba.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"ONE_CLICK","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PKTHP","PrimaryPayerId":"DESRT","DisplayName":"Desert Medical Group","Names":"Desert Oasis Healthcare (DOHC) (Regal)|Oasis Independent Practice Association (Regal)","Aliases":"3285|44006|8045|8854|DESRT","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EMXZF","PrimaryPayerId":"DVMC1","DisplayName":"Desert Valley Medical Group","Names":"","Aliases":"1206|3565|DVMC1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"INANA","PrimaryPayerId":"62599","DisplayName":"Detego Health","Names":"","Aliases":"62599|7054|9436","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://detegohealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZRSYL","PrimaryPayerId":"DEVOT","DisplayName":"Devoted Health","Names":"","Aliases":"2061|8196|DEVOT|DEVOTMA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"AL|AZ|AR|CO|DE|FL|GA|HI|IL|IN|IA|KS|KY|LA|MS|MO|NE|NM|NC|OH|OK|OR|PA|SC|TN|TX|UT|VA|WA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.devoted.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UCYGA","PrimaryPayerId":"BC001","DisplayName":"DGA-Producer Pension and Health Plans","Names":"Directors Guild of America|Directors Guild of America - Producer Pension & Health Plans|Directors Guild of America–Producer Pension and Health Plans","Aliases":"10077|BC001|DIRGD","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.dgaplans.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QUHNU","PrimaryPayerId":"DHM01","DisplayName":"DHMN Santa Cruz","Names":"Dignity Health Medical Network in Santa Cruz","Aliases":"1866|3915|DHM01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.dignityhealth.org/dhmf/about/dhmn/santa-cruz","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BATIH","PrimaryPayerId":"MPM27","DisplayName":"Dignity Global","Names":"CalMed Global|MedPOINT Management","Aliases":"7806|8580|MPM27","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medpointmanagement.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KAUKP","PrimaryPayerId":"MPM28","DisplayName":"Dignity Health Care Los Angeles","Names":"Dignity HealthCare Los Angeles|MedPOINT Management","Aliases":"7797|8557|MPM28","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medpointmanagement.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WTZRG","PrimaryPayerId":"11065","DisplayName":"Dignity Health Management Services","Names":"CommonSpirit Health|DHMSO|Dignity Health Medical Network (Santa Cruz)|GemCare|GemCare Health Plan|GemCare Medical Group (Managed Care Systems)|Independence Medical Group (Tulare County)|Independence Medical Group - Kern County|Managed Care Systems (Gemcare)|QualCare (Managed Care Systems)","Aliases":"11065|4607|6100|GMCARE|MCS01|MCS03","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://dignityhealthmso.org","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CXAIT","PrimaryPayerId":"DHM02","DisplayName":"Dignity Health Management Services Organization","Names":"CommonSpirit Health|DHMN - Preferrred IPA Hospital Risk","Aliases":"00058|1867|3920|DHM02","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://dignityhealthmso.org","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VBSQF","PrimaryPayerId":"DHFIE","DisplayName":"Dignity Health Medical Group (Inland Empire)","Names":"CommonSpirit","Aliases":"7729|9677|DHFIE|PROH4","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.commonspirit.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GNKTB","PrimaryPayerId":"HOSH1","DisplayName":"Dignity Health Sacramento Hospital","Names":"CommonSpirit|Dignity Health Sacramento Hospital Select Health Option","Aliases":"2084|8232|HOSH1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.commonspirit.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HJMLH","PrimaryPayerId":"PROH1","DisplayName":"Dignity Health Woodland Clinic","Names":"CommonSpirit Health","Aliases":"7796|8555|PROH1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.commonspirit.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EPEKT","PrimaryPayerId":"PROHC","DisplayName":"Dignity Medical Foundation Professional Capitated NonPayment","Names":"CommonSpirit","Aliases":"PROHC","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.commonspirit.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FUIRO","PrimaryPayerId":"Z1412","DisplayName":"Dimension Benefit Management","Names":"","Aliases":"Z1412","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FQYFE","PrimaryPayerId":"DCA62","DisplayName":"Direct Care Administrators","Names":"DCA","Aliases":"7736|9685|DCA62","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"UT","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://directcareadministrators.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QEBTL","PrimaryPayerId":"55731","DisplayName":"DirectCare","Names":"","Aliases":"1654|1719|55731","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BFHGK","PrimaryPayerId":"J1059","DisplayName":"Directory Distributing Association","Names":"","Aliases":"J1059","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VTEDI","PrimaryPayerId":"J1611","DisplayName":"Discount Tire","Names":"","Aliases":"J1611","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CXVAU","PrimaryPayerId":"J1060","DisplayName":"Discover Re (Burger King)","Names":"Discover Risk Evaluation (Burger King)","Aliases":"J1060","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OTHJI","PrimaryPayerId":"J1933","DisplayName":"Disneyland Resorts (BUNCH)","Names":"Disneyland Resorts (Bunch)","Aliases":"J1933","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TQTWZ","PrimaryPayerId":"11098","DisplayName":"District #9 Pension Trust & Welfare Trust Funds","Names":"District No. 9 of International Association of Machinists and Aerospace Workers Welfare Trust","Aliases":"11098|MWELT","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"IL|MO","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://d9wp.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QLVJV","PrimaryPayerId":"DBA20","DisplayName":"Diversified Benefits Administrators , Inc","Names":"","Aliases":"00437|1819|3549|DBA20|SGBA1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"GA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://dbainc.org","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TYDAP","PrimaryPayerId":"25160","DisplayName":"Diversified Group","Names":"DAC (06102)|Diversified Administration Corporation|Diversified Group Administrators|MCA Administrators Inc","Aliases":"11166|1976|25160|3934|4738|6481|CX040|DAC01|DVRAC|DVRGB","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"FL","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.dgb-online.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QZKPD","PrimaryPayerId":"DSAMH","DisplayName":"Division of Substance Abuse and Mental Health (DSAMH)","Names":"","Aliases":"1685|2144|DSAMH","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ASQFX","PrimaryPayerId":"DRHCP","DisplayName":"Doctors HealthCare Plans","Names":"","Aliases":"14528|2004|8135|DRHCP","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"FL","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.doctorshcp.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZTFYR","PrimaryPayerId":"DOLMG","DisplayName":"Dolton Medical Group","Names":"","Aliases":"6026|9174|DOLMG","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IL","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://doltonmedicalcenter.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AFNJC","PrimaryPayerId":"DOM01","DisplayName":"Dominion National","Names":"","Aliases":"DOM01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.dominionnational.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FIVTR","PrimaryPayerId":"23212","DisplayName":"DPC Core Incorporated","Names":"","Aliases":"23212|8809","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VBCZU","PrimaryPayerId":"A6864","DisplayName":"DPSC Inc.","Names":"Doctors Professional Services Consultants","Aliases":"1733|A6864","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"FL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://dpscinc.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WPOPA","PrimaryPayerId":"74284","DisplayName":"Driscoll Health Plan","Names":"Driscoll Children's Health Plan","Aliases":"11090|3234|3925|74284|DCHCH|DRSCHP","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"TX","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://driscollhealthplan.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OTGJZ","PrimaryPayerId":"DMG01","DisplayName":"Duly Health and Care","Names":"Boncura Health Solutions","Aliases":"2234|5994|DMG01|TH088","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.dulyhealthandcare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RZVQT","PrimaryPayerId":"35186","DisplayName":"Dunn Benefits","Names":"Dunn and Associates Benefits Administrators","Aliases":"1914|2293|35186|61364|DMBWL","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.dunnbenefit.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MDLDC","PrimaryPayerId":"J1061","DisplayName":"Dunn-Edwards Corporation","Names":"Dunn Edwards Corporation","Aliases":"J1061","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.dunnedwards.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZHKRL","PrimaryPayerId":"J1062","DisplayName":"Dynamex Incorporated","Names":"","Aliases":"J1062","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JSAPD","PrimaryPayerId":"J1934","DisplayName":"Eagle Claims","Names":"","Aliases":"J1934","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OJZVY","PrimaryPayerId":"36434","DisplayName":"Early Intervention Central Billing","Names":"EI-CBO|EICBO|Early Intervention Central Billing Office","Aliases":"3477|36434","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://eicbo.info","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MLXRE","PrimaryPayerId":"EWACA","DisplayName":"East West Administrators","Names":"","Aliases":"1839|3659|EWACA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://eastwestadministrators.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CVCJH","PrimaryPayerId":"J2143","DisplayName":"Eastern Alliance","Names":"","Aliases":"J2143","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VXCND","PrimaryPayerId":"J1289","DisplayName":"Eastern Dentists Insurance Company","Names":"","Aliases":"J1289","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TEZLW","PrimaryPayerId":"23861","DisplayName":"Eastern Iowa Community Healthcare (EICH)","Names":"","Aliases":"23861|7159|7962","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FXFHX","PrimaryPayerId":"TLZ28","DisplayName":"Eastern Life and Health","Names":"","Aliases":"TLZ28","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YQCTF","PrimaryPayerId":"16565","DisplayName":"Eastern Maine Healthcare Systems (EMHS) Employee Health Plan","Names":"","Aliases":"16565|7741|EMHSP","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YLBYR","PrimaryPayerId":"J1639","DisplayName":"Eastern Municipal Water District (California)","Names":"","Aliases":"J1639","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SFRJP","PrimaryPayerId":"ESSCA","DisplayName":"Easterseals Southern California","Names":"","Aliases":"ESSCA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://socal.easterseals.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UTMJI","PrimaryPayerId":"66122","DisplayName":"Eastland Medical Group","Names":"","Aliases":"66122|EMG11","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OUQCO","PrimaryPayerId":"J1903","DisplayName":"Eastman Kodak Company","Names":"","Aliases":"J1903","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JDGNI","PrimaryPayerId":"22262","DisplayName":"EBA&M","Names":"Employee Benefits Administration and Management Company","Aliases":"22262|5205|95288","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ebam.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OXINF","PrimaryPayerId":"EV001","DisplayName":"Eberle Vivian","Names":"","Aliases":"7294|EV001","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UNHWJ","PrimaryPayerId":"IAC01","DisplayName":"Ebix Health Administration Exchange (EHAE)","Names":"","Aliases":"IAC01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ebix.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZDUIY","PrimaryPayerId":"20018","DisplayName":"EBMS","Names":"Benefit Management Group Nevada|Benefits Management Group|Employee Benefit Management Services","Aliases":"20018|36459","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ebms.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SDRFX","PrimaryPayerId":"42149","DisplayName":"EBS","Names":"EBSTPA|Employee Benefit Systems","Aliases":"00447|3672|42149|5877","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://ebs-tpa.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WDZBM","PrimaryPayerId":"R3500","DisplayName":"EDDY Seniorcare","Names":"EDDY Seniorcare|St. Peter's Health Partners","Aliases":"R3500","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NY","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://sphp.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZNJKB","PrimaryPayerId":"R3491","DisplayName":"Edenbridge Health","Names":"Edenbridge PACE of West Baltimore","Aliases":"3452|9002|R3491","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"MD","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.edenbridgehealth.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UZPZN","PrimaryPayerId":"R3490","DisplayName":"Edenbridge of DC","Names":"Edenbridge Health|Edenbridge PACE","Aliases":"2276|2543|R3490","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"DC","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.edenbridgehealth.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CUSQZ","PrimaryPayerId":"GNPMG","DisplayName":"Edinger Medical Group","Names":"Greater Newport Physicians","Aliases":"3485|9000|GNPMG","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.memorialcare.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LZMQL","PrimaryPayerId":"66456","DisplayName":"Edison Health Solutions","Names":"ResourceOne Administrators","Aliases":"3257|4929|66456","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.edisonehs.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LWRCG","PrimaryPayerId":"20333","DisplayName":"Edison Health Solutions (EHS)","Names":"Worksite Benefit Services LLC","Aliases":"20333","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.edisonehs.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ADQWR","PrimaryPayerId":"89425","DisplayName":"Edison Revolution","Names":"Edison Health Solutions","Aliases":"89425","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"http://www.edisonehs.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IJTOF","PrimaryPayerId":"ECL01","DisplayName":"El Camino Health Alliance","Names":"","Aliases":"ECL01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SMNUP","PrimaryPayerId":"S9637","DisplayName":"El Camino Health Medical Network","Names":"","Aliases":"8031|9746|ELC01|S9637","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UZREV","PrimaryPayerId":"A0106","DisplayName":"El Paso Community College (Texas Jurisdiction)","Names":"","Aliases":"A0106","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TX","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.epcc.edu","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RLEGM","PrimaryPayerId":"EPF37","DisplayName":"El Paso First Health Plan HCO Healthcare Options","Names":"El Paso First Health Plan Healthcare Options","Aliases":"7787|8529|EPF37","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"ONE_CLICK","ProfessionalClaimEnrollmentTimeframe":"DAYS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"ONE_CLICK","InstitutionalClaimEnrollmentTimeframe":"DAYS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TX","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.elpasohealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QDZJY","PrimaryPayerId":"EPF03","DisplayName":"El Paso First Health Plans CHIP","Names":"","Aliases":"12T27|15534|4289|8923|ELPASO|EPF03","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TX","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.elpasohealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SUVRF","PrimaryPayerId":"EPF02","DisplayName":"El Paso First Health Plans Premier Plan STAR Medicaid HMO ","Names":"El Paso First Health Plans Premier Plan STAR Medicaid HMO","Aliases":"3678|4279|EPF02","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TX","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.elpasohealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CMZJE","PrimaryPayerId":"EPF07","DisplayName":"El Paso Health Advantage Dual SNP","Names":"El Paso Health Advantage Dual SNP (HMO D-SNP)|El Paso Health Advantage Dual Special Needs Plan (Health Maintenance Organization Dual Special Needs Plan)","Aliases":"8029|9745|EPF07","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"ONE_CLICK","ProfessionalClaimEnrollmentTimeframe":"DAYS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"ONE_CLICK","InstitutionalClaimEnrollmentTimeframe":"DAYS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TX","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.elpasohealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WSWJM","PrimaryPayerId":"J1017","DisplayName":"El Paso Water Utility Texas Jurisdiction","Names":"El Paso Water Utilities Texas Jurisdiction","Aliases":"J1017","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MTLBL","PrimaryPayerId":"J1737","DisplayName":"El Pollo Loco","Names":"","Aliases":"J1737","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CKHQW","PrimaryPayerId":"MPM04","DisplayName":"El Proyecto del Barrio","Names":"MedPOINT Management","Aliases":"5869|8691|MPM04","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.elproyecto.us","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OUVTE","PrimaryPayerId":"64192","DisplayName":"Elderhaus","Names":"Elderhaus, Inc.|EveryAge","Aliases":"2887|64192|8092","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NC","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://elderhaus.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZTXQE","PrimaryPayerId":"31625","DisplayName":"Elderplan","Names":"HomeFirst|MJHS Health System","Aliases":"11010|1853|1999|31625|31625MA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NY","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.elderplan.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JXAZU","PrimaryPayerId":"05178","DisplayName":"ElderServe Health","Names":"RiverSpring Health Plans","Aliases":"05178|3085|8779","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NY","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"XDBLI","ParentPayerGroupName":"CareSource Group","WebsiteUrl":"https://elderservehealth.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JEBAP","PrimaryPayerId":"03964","DisplayName":"Elderwood Health","Names":"","Aliases":"03964|1071|7899","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AIADA","PrimaryPayerId":"30506","DisplayName":"Electric Welfare Trust Fund","Names":"Local 26 IBEW-NECA Joint Trust Funds","Aliases":"30506|9173","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ewtf.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BPEYC","PrimaryPayerId":"52611","DisplayName":"Electrical Welfare Trust","Names":"EWTF|Local 26 IBEW-NECA Joint Trust Funds","Aliases":"52611","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ewtf.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SUDPQ","PrimaryPayerId":"93235","DisplayName":"Electrical Workers Insurance Fund Local 58","Names":"","Aliases":"6666|6769|93235","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"MI","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://ibew58.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XTQXL","PrimaryPayerId":"04326","DisplayName":"Element Care Incorporated","Names":"","Aliases":"04326|6811|6977","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"MA","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://elementcare.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NEZAH","PrimaryPayerId":"CARDON","DisplayName":"Elevate Patient Financial Solutions","Names":"Cardon OutReach","Aliases":"5699|6716|CARDON","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"ONE_CLICK","ProfessionalClaimEnrollmentTimeframe":"DAYS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"ONE_CLICK","InstitutionalClaimEnrollmentTimeframe":"DAYS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://elevatepfs.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FDXYC","PrimaryPayerId":"RVC01","DisplayName":"ElevatePFS","Names":"Elevate Patient Financial Solutions|RevClaims","Aliases":"5661|6423|RVC01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://elevatepfs.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LQJLK","PrimaryPayerId":"ZP4183","DisplayName":"Eliance","Names":"Eliance","Aliases":"ZP4183","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"PA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.eliancehealthsolutions.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DZNDM","PrimaryPayerId":"Z96801","DisplayName":"Elips Life Insurance Company","Names":"Lumico","Aliases":"14330|Z96801","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"WLBWR","ParentPayerGroupName":"Swiss Re Group","WebsiteUrl":"https://lumico.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HEBMQ","PrimaryPayerId":"63681","DisplayName":"Elite Health Plan","Names":"","Aliases":"16713|63681","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.elitehealthplan.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XDAQU","PrimaryPayerId":"60509","DisplayName":"ELMCO LLC","Names":"Elmco Health Plan","Aliases":"1498|37253|4911|60509","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.elmcohealthplan.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IFDKP","PrimaryPayerId":"22120","DisplayName":"Elmira Savings Bank (UCS)","Names":"","Aliases":"22120","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ELMCW","PrimaryPayerId":"MPM62","DisplayName":"Emanate Health Independent Practice Association","Names":"MedPOINT Management","Aliases":"4036|8764|MPM62","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medpointmanagement.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZWLQG","PrimaryPayerId":"EHIHO","DisplayName":"Emanate Health IPA - Astrana","Names":"","Aliases":"1929|EHIHO","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.emanatehealth.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VZVQW","PrimaryPayerId":"1376860304","DisplayName":"Emanuel Services - Jns","Names":"Emanuel Services - Jns","Aliases":"1376860304","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DCFYM","PrimaryPayerId":"13551","DisplayName":"EmblemHealth Plan","Names":"EmblemHealth - Group Health Incorporated|GHI - New York|Vytra","Aliases":"10407|10616|10808|13551|2744|6509|EMBLEM|EMBLM|QTRDL|SQJIW","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"NY","Programs":"","PtanRequired":"false","ParentPayerGroupId":"RSZCR","ParentPayerGroupName":"EmblemHealth Group","WebsiteUrl":"https://www.emblemhealth.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AKYEK","PrimaryPayerId":"21415","DisplayName":"EMC Insurance","Names":"Dakota Fire|EMC Property and Casualty Workers' Compensation Only|Employers Mutual Casualty Workers' Compensation Only|Hamilton Mutual Workers' Compensation|Illinois EMCASCO","Aliases":"21415","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.emcinsurance.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ICPJL","PrimaryPayerId":"C1029","DisplayName":"EMC Insurance","Names":"Dakota Fire|EMC Property and Casualty Auto Only|EMCASCO Insurance Company Auto Only|Employers Mutual Casualty Auto Only|Hamilton Mutual Auto|Illinois EMCASCO|Union Insurance Company of Providence","Aliases":"C1029","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"AUTOMOBILE_MEDICAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.emcinsurance.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HAZEM","PrimaryPayerId":"J1118","DisplayName":"EMC Risk Services","Names":"Allied Construction|City of Ames|City of Des Moines|City of West Des Moines|Dahls Foods|Discovery Hy Vee|Dustrol|EMC Insurance|Employers Mutual Casualty Company|Hy Vee|Johnston Schools|Keystone|Musco|Prairie Meadows|Standard Forwarding|Vermeer|Victor Plastics","Aliases":"J1118","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.emcinsurance.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XUWOG","PrimaryPayerId":"21407","DisplayName":"EMCASCO Insurance Company Workers' Compensation Only","Names":"EMC Insurance Company Workers' Compensation Only","Aliases":"21407","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://emcinsurance.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XQUJZ","PrimaryPayerId":"AMM03","DisplayName":"Emergency Medical Services Fund (EMSF)","Names":"Advanced Medical Management|County of Orange Health Care Agency|OCHCA","Aliases":"3643|6271|95600|AMM03","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://ochca.amm.cc","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FHRLX","PrimaryPayerId":"J1022","DisplayName":"Emergency Room Management Corporation","Names":"ER Medical Consulting","Aliases":"J1022","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JWUOB","PrimaryPayerId":"41136","DisplayName":"Emerging Therapy Solutions","Names":"ETS|Life Trac|LifeTrac","Aliases":"3844|3907|41136","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://emergingtherapies.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IOJXU","PrimaryPayerId":"J1679","DisplayName":"Emeritus Corporation","Names":"","Aliases":"J1679","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DINIB","PrimaryPayerId":"59299","DisplayName":"EMI - KP Ambulance Claims","Names":"EMI KP Ambulance Claims|Employers Mutual, Inc.|Relation Insurance (Kaiser Ambulance Claims)","Aliases":"59299|8852","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.relationinsurance.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XJXMN","PrimaryPayerId":"SX110","DisplayName":"EMI Health","Names":"EMIA|Educators Health Plans Life, Accident, and Health|Educators Mutual Insurance Association","Aliases":"11135|14001|4410|8654|CX079|EMINS|SX110|Z1011","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"true","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"NATIONAL","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://emihealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LRAIK","PrimaryPayerId":"EHI01","DisplayName":"Empire Healthcare Independent Practice Association","Names":"Empire Healthcare IPA","Aliases":"2864|8075|EHI01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QGSIX","PrimaryPayerId":"92135","DisplayName":"Employee Benefit Logistics","Names":"","Aliases":"7108|7665|92135","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BPXIR","PrimaryPayerId":"81039","DisplayName":"Employee Benefit Management Services","Names":"EBMS","Aliases":"10862|2947|5483|81039|EBMC1|EBMS|SX182","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ebms.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HYEWS","PrimaryPayerId":"60221","DisplayName":"Employee Benefit Services","Names":"EBS|Employee Benefit Services Incorporated","Aliases":"00034|10784|1088|60221|8115|EBS01","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://ebsincms.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OTFQY","PrimaryPayerId":"37216","DisplayName":"Employee Benefit Services","Names":"Employee Benefit Services South Carolina","Aliases":"2836|37216|7528|Z96292","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://ebsincms.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UMHVJ","PrimaryPayerId":"58102","DisplayName":"Employee Benefits Services Organisation (90 Degree Benefits)","Names":"Covenant Administrators Incorporated (Atlanta, Georgia)|Crown Cork And Seal|EBSO, Inc.|Guarantee Trust Life Insurance Company|Simple","Aliases":"00033|00071|1575|2059|37257|3828|4414|58102|COVENT","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://90degreebenefits.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YKUBF","PrimaryPayerId":"35112","DisplayName":"Employee Plans LLC","Names":"Allied Benefit Systems","Aliases":"00306|1834|35112|8548","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://alliedbenefit.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XBVMZ","PrimaryPayerId":"27008","DisplayName":"Employer Coalition on Health - ECOH","Names":"Employers Health Cooperative (EHC)|Employers' Coalition on Health","Aliases":"27008|4277","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IL","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://ecoh.solutions","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GSBMS","PrimaryPayerId":"EDHP1","DisplayName":"Employer Driven Insurance Services","Names":"EDIS","Aliases":"2805|7946|EDHP1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.employerdriven.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GMBPX","PrimaryPayerId":"J1232","DisplayName":"Employer Insurance Group (EIG)","Names":"Employer Insurance Group|Employers Assurance Company|Employers Compensation Insurance Company|Employers Preferred Insurance Company","Aliases":"J1232","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.employers.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EDYHC","PrimaryPayerId":"74212","DisplayName":"Employer Plan Services Incorporated (EPSI)","Names":"Fringe Benefit Group","Aliases":"11011|1628|3268|74212|CX031","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TX","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://fbg.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RALQX","PrimaryPayerId":"J1559","DisplayName":"Employers Claim Services Incorporated City of Naperville","Names":"","Aliases":"J1559","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CAEAR","PrimaryPayerId":"36335","DisplayName":"Employers Coalition on Health (ECOH)","Names":"HealthCare's Finest Network","Aliases":"2503|2717|36335","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://ecoh.solutions","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YKQDF","PrimaryPayerId":"75236","DisplayName":"Employers Direct Health Employee Plan","Names":"","Aliases":"4436|4948|75236","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TX","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://orchestratehr.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OMSBJ","PrimaryPayerId":"J1696","DisplayName":"Employers General Insurance Group","Names":"","Aliases":"J1696","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QUNLE","PrimaryPayerId":"IHS07","DisplayName":"Employers Health Network","Names":"","Aliases":"5063|9108|IHS07","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.employershealthnetwork.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DKBCZ","PrimaryPayerId":"J1912","DisplayName":"Employers Insurance (Bunch)","Names":"","Aliases":"J1912","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KCQER","PrimaryPayerId":"12956","DisplayName":"Empower Healthcare Solutions","Names":"Arkansas Empower Healthcare Solutions|Empower Arkansas","Aliases":"12956|13293|2005|8137|EMPOW","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"AR","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://getempowerhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XVTOU","PrimaryPayerId":"A3224","DisplayName":"EnableComp Commercial","Names":"","Aliases":"1821|3576|A3224|L0244","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://enablecomp.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SWBVB","PrimaryPayerId":"A3220","DisplayName":"EnableComp Motor Vehicle Accident","Names":"","Aliases":"A3220","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"AUTOMOBILE_MEDICAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://enablecomp.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YPSJM","PrimaryPayerId":"A3223","DisplayName":"EnableComp OOS Medicaid","Names":"EnableComp Out of State Medicaid","Aliases":"5636|7027|7147|9411|A3223|ECOMP|L0243","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NATIONAL","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://enablecomp.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JSKCJ","PrimaryPayerId":"A3222","DisplayName":"EnableComp Veterans Administration","Names":"","Aliases":"A3222","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://enablecomp.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MLTRQ","PrimaryPayerId":"A3221","DisplayName":"EnableComp Workers Compensation","Names":"EnableComp Workers Compensation services","Aliases":"A3221","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://enablecomp.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PBSKR","PrimaryPayerId":"L0241","DisplayName":"EnableCompMVA","Names":"EnableComp Motor Vehicle Accidents","Aliases":"3059|8458|L0241","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://enablecomp.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HTJYG","PrimaryPayerId":"L0242","DisplayName":"EnableCompVET","Names":"","Aliases":"3062|8459|L0242","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://enablecomp.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VRMQR","PrimaryPayerId":"WT016","DisplayName":"Encara","Names":"Delta Dental","Aliases":"WT016","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://encaracorp.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XYLBV","PrimaryPayerId":"J2369","DisplayName":"Encompass Insurance","Names":"","Aliases":"J2369","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QFPKW","PrimaryPayerId":"35206","DisplayName":"Encore Health Network - The Healthcare Group","Names":"","Aliases":"2594|2825|35206","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JXGIF","PrimaryPayerId":"36364","DisplayName":"Endeavor Health","Names":"Arcadia Healthcare Solutions - NPA|Arcadia Healthcare Solutions - National Provider Agreement|NorthShore Physician Associates","Aliases":"36364|8018|9735","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IL","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.endeavorhealth.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZVKMH","PrimaryPayerId":"EGPIN","DisplayName":"Enterprise Group Planning","Names":"Enterprise Group Planning, Inc.","Aliases":"3014|8263|EGPIN","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://egp-inc.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZBNTR","PrimaryPayerId":"36878","DisplayName":"Entrust (90 Degree Benefits)","Names":"","Aliases":"14413|36878|524292|5827|8603","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://90degreebenefits.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SQOMH","PrimaryPayerId":"J1063","DisplayName":"EnviroSource","Names":"","Aliases":"J1063","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WSXQY","PrimaryPayerId":"204861241","DisplayName":"Envolve Vision of Puerto Rico","Names":"Centene Vision Services|Envolve Benefit Options|Envolve Total Vision, Inc.|Envolve Vision Benefits Puerto Rico","Aliases":"204861241","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"PR","Programs":"","PtanRequired":"false","ParentPayerGroupId":"RZIUK","ParentPayerGroupName":"Centene Corporation Group","WebsiteUrl":"https://www.envolvevision.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MTMPC","PrimaryPayerId":"TBL38","DisplayName":"EOB TPA ","Names":"","Aliases":"2763|7550|TBL38","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.eobtpa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VIHKZ","PrimaryPayerId":"49578","DisplayName":"Epic Assistance","Names":"","Aliases":"49578","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GDQOF","PrimaryPayerId":"78077","DisplayName":"Equitable","Names":"Equitable (UCCI)|Equitable America|Equitable Financial Life Insurance Company|Equitable Financial Life Insurance Company of America|Equitable Holdings, Inc.","Aliases":"78077","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"TSWRT","ParentPayerGroupName":"Equitable Holdings Inc Group","WebsiteUrl":"https://equitable.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZCLDF","PrimaryPayerId":"J1952","DisplayName":"Ergon Incorporated","Names":"","Aliases":"J1952","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BVHJG","PrimaryPayerId":"13284","DisplayName":"Erie Family Life Insurance Company","Names":"","Aliases":"13284|2473|ERIEI","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"YQXCB","ParentPayerGroupName":"Erie Insurance Group","WebsiteUrl":"https://www.erieinsurance.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UDOZP","PrimaryPayerId":"74234","DisplayName":"Erisa Administrative Services","Names":"EASI|Erisa Administrative Services, Inc.|NMPSIA|New Mexico Public Schools Insurance Authority|State of New Mexico Group Benefits Plan","Aliases":"5879|74234|TH110","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"NM","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"http://easitpa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IVLIV","PrimaryPayerId":"34108","DisplayName":"ES Beveridge and Associates","Names":"","Aliases":"34108|4953|7101","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.esbeveridge.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LAKCS","PrimaryPayerId":"TP043","DisplayName":"ESIS","Names":" Environmental Services and Insurance Solutions|Chubb|Risk Management Services","Aliases":"TP043","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.esis.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FXIJC","PrimaryPayerId":"J1064","DisplayName":"ESIS (First American Insurance Company)","Names":"","Aliases":"J1064","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.esis.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LQJFI","PrimaryPayerId":"J1451","DisplayName":"ESIS Kelly Services","Names":"","Aliases":"J1451","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.esis.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SNBAT","PrimaryPayerId":"J1454","DisplayName":"ESIS Lockheed Martin Corporation","Names":"","Aliases":"J1454","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.esis.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WGPDG","PrimaryPayerId":"WGPDG","DisplayName":"ESIS – Workers Compensation","Names":"ESIS (WC)","Aliases":"WGPDG","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.esis.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CYZJR","PrimaryPayerId":"EIPA8","DisplayName":"Esperanza IPA","Names":"Esperanza Independent Practice Association","Aliases":"3859|9079|EIPA8","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://alphamso.quickcap.net/ALPHAMSO/general/index.php","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IPTIT","PrimaryPayerId":"20818","DisplayName":"Essence Healthcare","Names":"","Aliases":"10601|20818|20818MA|2274|57082|8993|ESSNC|ESSNCE","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"IL|MO|NY|WA","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.essencehealthcare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ERLCU","PrimaryPayerId":"EHPSC","DisplayName":"Essential Health Partners","Names":"EHP-Silver Cross","Aliases":"3026|8275|EHPSC","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IL","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.luminarehealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HUJQG","PrimaryPayerId":"EIPA9","DisplayName":"Essential Health Partners Independent Practice Association (IPA)","Names":"Essential Health Partners Independent Practice Association","Aliases":"3081|8709|EIPA9","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IL","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://innovista-health.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DIGVU","PrimaryPayerId":"25712","DisplayName":"Esurance Insurance Company","Names":"Allstate","Aliases":"25712|7563|7761","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"AUTOMOBILE_MEDICAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.esurance.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HWSTL","PrimaryPayerId":"RP037","DisplayName":"Eternal Health","Names":"","Aliases":"6080|9239|RP037","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"MA","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.eternalhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NWAQC","PrimaryPayerId":"35605","DisplayName":"Everence Financial","Names":"Mennonite Mutual Aid","Aliases":"10772|35605|3651|5131|EV483|EVERC|LBRVE|ZP7356","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.everence.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LQTHM","PrimaryPayerId":"11164","DisplayName":"Everest Reinsurance Company","Names":"","Aliases":"11164","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.everestglobal.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EGCMA","PrimaryPayerId":"72063","DisplayName":"Everest Supplemental Medical Expense Policy","Names":"","Aliases":"72063","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WZAHX","PrimaryPayerId":"10860","DisplayName":"Evergreen Health Co-Op","Names":"","Aliases":"10860","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VZFBY","PrimaryPayerId":"62350","DisplayName":"Evernorth","Names":"Evernorth Health Services","Aliases":"2789|62350|7945","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.evernorth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QIYKT","PrimaryPayerId":"32052","DisplayName":"EverPointe","Names":"Everpointe|Trilogy Health Solutions","Aliases":"32052|6060|9215","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://trilogyhealthsolutions.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FNJXF","PrimaryPayerId":"64300","DisplayName":"Eversana Life Sciences Services","Names":"Triplefin LLC","Aliases":"64300|7115|7690","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FGATK","PrimaryPayerId":"14179","DisplayName":"EviCore by Evernorth","Names":"CareCore National, LLC (Aetna Radiology Claims)|New York Medical Imaging MVP","Aliases":"14179|2835|4960","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.evicore.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EDIMA","PrimaryPayerId":"NCHCA","DisplayName":"Evolent Specialty - Cardiology","Names":"","Aliases":"5238|NCHCA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.evolent.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CBDWE","PrimaryPayerId":"NCHON","DisplayName":"Evolent Specialty - Oncology","Names":"","Aliases":"7121|NCHON","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.evolent.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RHWCO","PrimaryPayerId":"NCHOR","DisplayName":"Evolent Specialty - Radiation Oncology","Names":"","Aliases":"9750|NCHOR","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.evolent.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NKARJ","PrimaryPayerId":"NCHUR","DisplayName":"Evolent Specialty - Urology","Names":"","Aliases":"8771|NCH03|NCHUR","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.evolent.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AHBZT","PrimaryPayerId":"NCHINS","DisplayName":"Evolent Specialty Institutional","Names":"National Imaging Associates","Aliases":"NCHINS","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.evolent.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PUJSB","PrimaryPayerId":"J1065","DisplayName":"Evolution Insurance Company","Names":"","Aliases":"J1065","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JESOQ","PrimaryPayerId":"59313","DisplayName":"Evolutions Healthcare Systems","Names":"","Aliases":"3956|4438|59313","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://ehsppo.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UNGFS","PrimaryPayerId":"EH001","DisplayName":"Evry Health","Names":"Evry Health Insurance Company of Texas|Evry Healthcare Inc.|Globe Life","Aliases":" EH001|7030|9414|EH001|EVRYHP","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.evryhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HIANX","PrimaryPayerId":"10323","DisplayName":"Excellus BlueCross BlueShield","Names":"BCBS New York Central Syracuse|BCBS of New York (Excellus)|Blue Cross Blue Shield of Rochester Area|Excellus BCBS|Excellus BCBS New York Utica Watertown|Excellus Blue Cross Blue Shield New York Rochester Area|Excellus Blue Cross Blue Shield of Central New York|Excellus Blue Cross Blue Shield of Utica Watertown New York|Excellus BlueCross BlueShield - Medicare Advantage|Excellus BlueCross BlueShield New York|Excellus BlueCross BlueShield New York Central|Excellus BlueCross BlueShield of New York","Aliases":"00302|00802|00804|00805|00806|100940|10323|10461|10469|10470|12B37|12B38|3524|3525|3533|3534|806|AFQTI|BCBSCNY|BCBSUW|BCBSX|CBNYR|ECLLS|EPMFB|FZKBZ|N2BLS|N2FEP|N4BLS|N6BLS|SB802|SB804|SB805|SB805MA|SB806","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"NY","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"ONPJX","ParentPayerGroupName":"Lifetime Healthcare","WebsiteUrl":"https://provider.excellusbcbs.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TQYWD","PrimaryPayerId":"EC999","DisplayName":"Exclusive Care - County of Riverside","Names":"","Aliases":"1113|9523|EC999","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"ONE_CLICK","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"ONE_CLICK","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://rc-hr.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GLKNV","PrimaryPayerId":"83383","DisplayName":"Exemplar","Names":"Exemplar Health Benefits Administrator","Aliases":"6055|83383|9209","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://exemplarhba.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DOBEG","PrimaryPayerId":"54096","DisplayName":"Exemplar Health Insurance Company (Medicare)","Names":"","Aliases":"54096","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.exemplarhpo.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SWSNJ","PrimaryPayerId":"J1606","DisplayName":"ExxonMobil Corporation","Names":"","Aliases":"J1606","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BHOZF","PrimaryPayerId":"31165","DisplayName":"EyeMed","Names":"Eye Care Plan of America","Aliases":"31165|5817","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.eyemed.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BXQKQ","PrimaryPayerId":"63740","DisplayName":"Eyequest","Names":"","Aliases":"63740|6776","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FAHCL","PrimaryPayerId":"95432","DisplayName":"Facey Medical Foundation","Names":"","Aliases":"4896|95432","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.providence.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TXHCM","PrimaryPayerId":"37300","DisplayName":"FACS Group","Names":"","Aliases":"37300|3854","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NWRQA","PrimaryPayerId":"J1019","DisplayName":"Factory 2 U","Names":"","Aliases":"J1019","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MAOCK","PrimaryPayerId":"J1624","DisplayName":"Fairchild Fasteners","Names":"","Aliases":"J1624","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MADKT","PrimaryPayerId":"J1884","DisplayName":"Fairfax County Government","Names":"","Aliases":"J1884","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SFOVC","PrimaryPayerId":"J1697","DisplayName":"Fairmont Specialty Insurance Company of Texas","Names":"Fairmont Specialty Insurance Company Texas","Aliases":"J1697","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CYHKY","PrimaryPayerId":"62956","DisplayName":"FairPrice","Names":"Fair Price|FairPrice Healthcare","Aliases":"62956","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.yourfairprice.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HDMWI","PrimaryPayerId":"J1618","DisplayName":"Fairview Health Services","Names":"","Aliases":"J1618","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"MN","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.fairview.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VICEI","PrimaryPayerId":"FCC20","DisplayName":"Falling Colors","Names":"BHSD STAR","Aliases":"2066|8207|FCC20","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NM","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.fallingcolors.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IRYDW","PrimaryPayerId":"FALLN","DisplayName":"Fallon Health","Names":"FCHP|Fallon (Transplant claims)|Fallon Community Health Plan","Aliases":"10082|1576|22254|3801|FALLN|FALLON|FT254|SX072|SX072MA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"MA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"SEFDK","ParentPayerGroupName":"Fallon Group","WebsiteUrl":"https://fallonhealth.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WHEQW","PrimaryPayerId":"MPM40","DisplayName":"Family Care Specialists","Names":"Altais|MedPOINT Management","Aliases":"6132|MPM40|MPM40B","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://altais.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HQNZB","PrimaryPayerId":"FCMS2","DisplayName":"Family Choice Medical Services","Names":"Altura|Family Choice Health Services","Aliases":"FCMS2","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://familychoice.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RKRIB","PrimaryPayerId":"R3468","DisplayName":"Family HealthCare Program of All-Inclusive Care for the Elderly","Names":"Family HealthCare Network PACE|Family Healthcare PACE","Aliases":"R3468","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"CA","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://fhcn.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZFYIF","PrimaryPayerId":"10145","DisplayName":"Family Practice Medical Group","Names":"Epic Management|LaSalle Medical Associates","Aliases":"10145|6232","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.lasallemedicalassociates.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SALWP","PrimaryPayerId":"FCS01","DisplayName":"Familycare Specialist Medical Group","Names":"","Aliases":"FCS01","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NTCJL","PrimaryPayerId":"J1807","DisplayName":"FAMSA Incorporated","Names":"Famsa Incorporated","Aliases":"J1807","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VWXDZ","PrimaryPayerId":"94587","DisplayName":"Farm Bureau Advantage (HMO)","Names":"Farm Bureau Advantage (HMO)","Aliases":"94587","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XBYLG","PrimaryPayerId":"RP061","DisplayName":"Farm Bureau Health Plans","Names":"FBHP|Farm Bureau Health Plans MAPD|TRH Health Insurance Company|Tennessee Farm Bureau","Aliases":"11167|1151|3096|62045|8015|89005|9733|FMBHP|FRMBHP|RP061|TNCMS","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"TN","Programs":"COMMERCIAL|MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://fbhealthplans.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PUSOM","PrimaryPayerId":"J1853","DisplayName":"Farm Bureau Mutual Insurance Company (Minnesota Only)","Names":"","Aliases":"J1853","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XPOZU","PrimaryPayerId":"J1687","DisplayName":"Farmers Civic Property and Casualty Company","Names":"","Aliases":"J1687","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NZUIK","PrimaryPayerId":"J1703","DisplayName":"Farmers Exact Property and Casualty Company","Names":"","Aliases":"J1703","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WNYGZ","PrimaryPayerId":"J1706","DisplayName":"Farmers Fire Insurance Exchange","Names":"","Aliases":"J1706","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YJTLO","PrimaryPayerId":"J1710","DisplayName":"Farmers Insurance","Names":"Farmers Mid Century Insurance Company|Farmers Mid-Century Insurance Company","Aliases":"J1710","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.farmers.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RYTUQ","PrimaryPayerId":"C1025","DisplayName":"Farmers Insurance (Auto Only)","Names":"","Aliases":"C1025","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"AUTOMOBILE_MEDICAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.farmers.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ISVHA","PrimaryPayerId":"J1563","DisplayName":"Farmers Insurance Exchange (Workers' Compensation Only)","Names":"","Aliases":"J1563","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RKTAF","PrimaryPayerId":"J1701","DisplayName":"Farmers Neighborhood Spirit Property and Casualty Company","Names":"","Aliases":"J1701","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MUXDZ","PrimaryPayerId":"J1713","DisplayName":"Farmers Truck Insurance Exchange","Names":"","Aliases":"J1713","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EDBTR","PrimaryPayerId":"J1551","DisplayName":"Farmland Mutual Insurance Company","Names":"National Casualty Company|Nationwide Agribusiness Insurance Company","Aliases":"J1551","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NEOTE","PrimaryPayerId":"J1830","DisplayName":"FCCI","Names":"Florida Construction Credit Insurance","Aliases":"J1830","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BXMGU","PrimaryPayerId":"33033","DisplayName":"FCE Benefit Administrators","Names":"FCE Benefits","Aliases":"3253|33033|3941|FECAD1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://fcebenefits.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RYBML","PrimaryPayerId":"CX090","DisplayName":"FCL Dental","Names":"First Continental Life & Accident Insurance Company|First Continental Life And Accident","Aliases":"CX090","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://fcldental.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QSXSZ","PrimaryPayerId":"QSXSZ","DisplayName":"Fcs Administrators – Workers Compensation","Names":"Fcs Administrators","Aliases":"QSXSZ","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"FL|NY","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LSTXA","PrimaryPayerId":"FQHC1","DisplayName":"Federally Qualified Healthcare","Names":"","Aliases":"FQHC1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"DAYS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DYLVK","PrimaryPayerId":"J1297","DisplayName":"Federated Claims Services Corporation","Names":"Federated Department Stores Incorporated","Aliases":"J1297","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CVPAZ","PrimaryPayerId":"13935","DisplayName":"Federated Mutual Insurance Company","Names":"","Aliases":"13935","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"41-0417460","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.federatedinsurance.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MXQDU","PrimaryPayerId":"11118","DisplayName":"Federated Rural Electric (Texas)","Names":"","Aliases":"11118","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TX","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.federatedrural.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DTAYZ","PrimaryPayerId":"28304","DisplayName":"Federated Services Insurance Company","Names":"Federated Insurance","Aliases":"28304","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.federatedinsurance.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YHEKD","PrimaryPayerId":"71056","DisplayName":"FedEx Freight East","Names":"","Aliases":"71056","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.fedex.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PCLSW","PrimaryPayerId":"TLU64","DisplayName":"FedEx Freight Health Benefit","Names":"","Aliases":"TLU64","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WYZLR","PrimaryPayerId":"60818","DisplayName":"Fenix Medical Group","Names":"Epic Management","Aliases":"1058|60818|7885","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.epicmanagementlp.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DSKIP","PrimaryPayerId":"83309","DisplayName":"Fenyx Health","Names":"","Aliases":"16760|2725|7914|83309","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://fenyxhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YBKIZ","PrimaryPayerId":"J1909","DisplayName":"FFVA Mutual Insurance","Names":"Florida Fruit and Vegetable Association Mutual Insurance","Aliases":"J1909","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QBHCS","PrimaryPayerId":"660584821","DisplayName":"FHC of Puerto Rico","Names":"Family Health Center of Puerto Rico|Family Health Centers of Puerto Rico","Aliases":"660584821","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"PR","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://fhcsaludmental.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ISXVB","PrimaryPayerId":"11315","DisplayName":"Fidelis Care","Names":"Ambetter from Fidelis Care|Centene Corporation|Essential Plans|Fidelis Care New York|New York Quality Healthcare Corporation|WellCare by Fidelis Care|Wellcare Health Plans","Aliases":"00414|10459|11315|11315MA|11315MC|208017319|3792|6536|FDCRNY|FIDEL|FIDEN","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NY","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.fideliscare.org","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CFRLE","PrimaryPayerId":"FSL01","DisplayName":"Fidelity Security Life Insurance Company","Names":"FSL Admin by KBA","Aliases":"11052|1743|1919|FSL01","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"XTIMH","ParentPayerGroupName":"Fidelity Security Group","WebsiteUrl":"https://www.fslins.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YOYEY","PrimaryPayerId":"FDNYP","DisplayName":"Fire Department City of New York World Trade Center Health Plan","Names":"Fire Department City New York World Trade Center Health Plan","Aliases":"8125|9033|FDNYP|FDNYU","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"ONE_CLICK","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cdc.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YKCLD","PrimaryPayerId":"YKCLD","DisplayName":"Fire Districts of NY Mutual INS. Co., Inc. – Workers Compensation","Names":"Fire Districts of NY Mutual INS. Co., Inc.","Aliases":"YKCLD","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ELFJN","PrimaryPayerId":"FRFLY","DisplayName":"Firefly Health","Names":"Flume Health","Aliases":"7097|9710|FRFLY","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"MA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.fireflyhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NBKCW","PrimaryPayerId":"21873","DisplayName":"Fireman's Fund Insurance Company","Names":"","Aliases":"21873","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RMJVY","PrimaryPayerId":"88055","DisplayName":"First Agency","Names":"1st Agency|First Agency TPA|Gallagher","Aliases":"7167|8608|88055","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.1stagency.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XOVND","PrimaryPayerId":"72630","DisplayName":"First Ameritas New York","Names":"Ameritas Mutual Holding Company|First Ameritas Life Insurance Corporation of New York","Aliases":"00426|10232|72630|AMTAS00426","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"NY","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ameritas.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GULKS","PrimaryPayerId":"J1585","DisplayName":"First Auto and Casualty","Names":"","Aliases":"J1585","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CPRLY","PrimaryPayerId":"23285","DisplayName":"First Choice by Select Health South Carolina - Medicaid","Names":"FCSH|First Choice by Select Health|First Choice by Select Health South Carolina|Select Health South Carolina","Aliases":"10520|16608|23285|2890|7544|SCSLHT|SHSC","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"SC","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.selecthealthofsc.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ROGTW","PrimaryPayerId":"91131","DisplayName":"First Choice Health","Names":"First Choice Health Network|Sound Health","Aliases":"14416|6453|6554|91131|FRSTC","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"AK|ID|MT|ND|OR|SD|WA|WY","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.fchn.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UTJHB","PrimaryPayerId":"MS001","DisplayName":"First Choice Health Plan of Mississippi","Names":"","Aliases":"MS001","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"MS","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://firstchoicems.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KQPRL","PrimaryPayerId":"FCMG1","DisplayName":"First Choice Medical Group","Names":"","Aliases":"7238|FCMG1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UTHZX","PrimaryPayerId":"FC001","DisplayName":"First Choice Medical Group (Meritage)","Names":"","Aliases":"FC001","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FITZI","PrimaryPayerId":"57103","DisplayName":"First Choice Next","Names":"AmeriHealth Caritas|First Choice Next (South Carolina)|First Choice Next, A Product of Select Health South Carolina, Inc.|First Choice VIP Care (South Carolina Dual-Eligible Special Needs Plan)","Aliases":"57103|7042|9425|ACNSC|ASCEX","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"SC","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.firstchoicenext.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MLEUR","PrimaryPayerId":"32456","DisplayName":"First Choice VIP Care - Medicare Advantage (D-SNP)","Names":"First Choice VIP Care (Special Needs Plan)|Select Health of South Carolina, Inc.","Aliases":"32456|6087|9248|FCVPC","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"SC","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"SRQGL","ParentPayerGroupName":"Independence Health Group Inc Group","WebsiteUrl":"https://www.firstchoicevipcareplus.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XZUFJ","PrimaryPayerId":"77009","DisplayName":"First Choice VIP Care Plus - Medicare and Medicaid","Names":"First Choice VIP Care Plus South Carolina","Aliases":"14353|7193|77009|8631|FCVSC","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"SC","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VQMAE","PrimaryPayerId":"82018","DisplayName":"First Health Network","Names":"HCS|Health Claims Services","Aliases":"3267|73159|82018","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"IWQUE","ParentPayerGroupName":"Aetna (CVS Group)","WebsiteUrl":"https://firsthealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LMEUT","PrimaryPayerId":"11190","DisplayName":"First Health Network (Coventry National)","Names":"","Aliases":"11190","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FKWZV","PrimaryPayerId":"40270","DisplayName":"First Managed Care Options, Inc.","Names":"","Aliases":"2460|40270|7092","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.firstmco.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FMKIY","PrimaryPayerId":"37624","DisplayName":"First Medical Health Plan","Names":"First Medical Health Plan Incorporated (IMC)|First Medical Health Plan Incorporated (International Medical Center)","Aliases":"37624|5688|66053|660537624|7221|8646|RP084","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"66-0537624","CoverageTypes":"medical","OperatingStates":"PR","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.firstmedicalpr.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FAKEO","PrimaryPayerId":"10916","DisplayName":"First Medical Network","Names":"","Aliases":"10916|Z96298","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"vision","OperatingStates":"GA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HMWME","PrimaryPayerId":"GHP660537624","DisplayName":"First Medical Puerto Rico Government Health Plan (VITAL)","Names":"First Medical Puerto Rico Government Health Plan (Vital)","Aliases":"66064|7229|FIRMED|GHP660537624","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"PR","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.firstmedicalvital.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SUDVA","PrimaryPayerId":"TFZ08","DisplayName":"First Plan Blue","Names":"","Aliases":"TFZ08","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JPWYL","PrimaryPayerId":"FPC36","DisplayName":"First Primary Care","Names":"","Aliases":"FPC36","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PFMZX","PrimaryPayerId":"94998","DisplayName":"FirstCare","Names":"FirstCare Star Medicaid","Aliases":"1656|5854|94998","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"TX","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.firstcare.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AXWXT","PrimaryPayerId":"10870","DisplayName":"FirstCare Health Plans","Names":"Baylor Scott & White Health|FirstCare|FirstCare Medicaid","Aliases":"10870|1995|7435|94999|FRTCR|TH003","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"TX","Programs":"COMMERCIAL|MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.firstcare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RYCHQ","PrimaryPayerId":"FCC01","DisplayName":"FirstCarolinaCare","Names":"FirstCarolinaCare Insurance Company|FirstMedicare Direct|New Hanover Health Advantage Select","Aliases":"11221|4077|56196|8821|FCACAR|FCC01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NC","Programs":"COMMERCIAL|MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://firstcarolinacare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JEDRD","PrimaryPayerId":"J1011","DisplayName":"FirstComp","Names":"","Aliases":"J1011","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QMAQW","PrimaryPayerId":"J1047","DisplayName":"FKI Industries Incorporated","Names":"","Aliases":"J1047","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NZRJU","PrimaryPayerId":"R7004","DisplayName":"Flex Compensation","Names":"","Aliases":"10799|46483|R7004","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"MN","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ULXRI","PrimaryPayerId":"BCBSF","DisplayName":"Florida Blue","Names":"BCBSFL|Blue Cross Blue Shield of Florida|Blue Cross and Blue Shield of Florida|Florida Blue - Medicare Advantage|Florida Combined Life Insurance Company|New Era Welfare Benefit Plan Trust","Aliases":"00590|090|10031|10811|1115|1414|3417|3517|3561|590|59201|76031|9525|BCBSF|BCSFL|CBFLF|CBFLU|FLBCBS|FLBLS|SB590|SB590MA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"FL","Programs":"COMMERCIAL|MEDICARE","PtanRequired":"false","ParentPayerGroupId":"INGJR","ParentPayerGroupName":"Blue Cross Blue Shield of Florida","WebsiteUrl":"https://www.floridablue.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TRQGK","PrimaryPayerId":"FBM01","DisplayName":"Florida Blue Medicare","Names":"Medicare Florida Blue","Aliases":"5081|9128|FBM01","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"59-2015694","CoverageTypes":"dental|medical|vision","OperatingStates":"FL","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.floridablue.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DKTZK","PrimaryPayerId":"FLCCR","DisplayName":"Florida Community Care","Names":"","Aliases":"1099|8129|FLCCR","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"FL","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://fcchealthplan.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RQZOX","PrimaryPayerId":"FLCPC","DisplayName":"Florida Complete Care","Names":"","Aliases":"00356|7033|9417|FLCPC","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"FL","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://fc2healthplan.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HRLIS","PrimaryPayerId":"J1910","DisplayName":"Florida Fruit and Vegetable Association","Names":"","Aliases":"J1910","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"FL","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ffva.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DBUKL","PrimaryPayerId":"86753","DisplayName":"Florida Health Administrators","Names":"FHA-TPA|Florida Health Administrators Third-Party Administrator|The Assistance Fund","Aliases":"00039|7792|8539|86753|FHA01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://fhatpa.net","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QNBKE","PrimaryPayerId":"59322","DisplayName":"Florida Health Care Plans","Names":"FHCP","Aliases":"10615|2150|3693|59322|593222484|59322MA|FLHLT|FLHLTH","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"FL","Programs":"COMMERCIAL|MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.fhcp.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZIPVB","PrimaryPayerId":"FLPAC","DisplayName":"Florida PACE Centers","Names":"Florida PACE Centers at Miami Jewish Health|Florida Program of All-Inclusive Care for the Elderly Center","Aliases":"1212|3588|FLPAC","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"FL","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.floridapacecenters.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ELRWE","PrimaryPayerId":"FH205","DisplayName":"Flume Health Inc.","Names":"Firefly Health Plan|Flume Health Inc","Aliases":"3024|8273|FH205","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://flumehealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HLAKH","PrimaryPayerId":"HHZBW","DisplayName":"Food Employers & Bakery & Confectionery Workers Benefit Fund of Southern California","Names":"","Aliases":"10776|HHZBW","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"95-6134346","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HFJGX","PrimaryPayerId":"11185","DisplayName":"Foremost","Names":"Foremost Insurance Company|Foremost Insurance Company Grand Rapids, Michigan|Foremost Insurance Group","Aliases":"11185","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.foremost.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HBJYJ","PrimaryPayerId":"25059","DisplayName":"Forest County Potawatomi Insurance Department","Names":"","Aliases":"25059|7727|9674","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"WI","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://insurance.fcpotawatomi.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DGQAQ","PrimaryPayerId":"J1529","DisplayName":"Forge Industrial Staffing","Names":"","Aliases":"J1529","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EPFPH","PrimaryPayerId":"85362","DisplayName":"Foundation for Medical Care of Tulare and Kings Counties","Names":"","Aliases":"85362","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.tkfmc.org","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GLMSR","PrimaryPayerId":"FH001","DisplayName":"Foundation Health","Names":"","Aliases":"FH001","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WHKOM","PrimaryPayerId":"64069","DisplayName":"Fox Everett","Names":"Fox Everett, Inc|Fox Everett, Incorporated|HUB","Aliases":"5433|64069|6576","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.foxeverett.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RFNHR","PrimaryPayerId":"FVMC1","DisplayName":"Fox Valley Medicine Site 199","Names":"","Aliases":"5440|FVMC1|FVMCH","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MDCNO","PrimaryPayerId":"J1883","DisplayName":"Franciscan Alliance","Names":"","Aliases":"J1883","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HRECJ","PrimaryPayerId":"FAIPUR","DisplayName":"Franciscan Purdue","Names":"","Aliases":"FAIPUR","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EYSXS","PrimaryPayerId":"FSHW1","DisplayName":"Franciscan Senior Health and Wellness PACE","Names":"Franciscan Alliance","Aliases":"3710|9029|FSHW1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"IN","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.franciscanhealth.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LYXLO","PrimaryPayerId":"J1440","DisplayName":"Frankenmuth Mutual","Names":"","Aliases":"J1440","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YWMUB","PrimaryPayerId":"41202","DisplayName":"Free Market Administrators","Names":"FMA|Total Plan Services","Aliases":"41202|4667|6199","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.freemarketadmin.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FUZJC","PrimaryPayerId":"67136","DisplayName":"Freedom Claims Management","Names":"","Aliases":"67136|7085|9492","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"KS","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://freedomclaimsinc.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KCEJC","PrimaryPayerId":"41212","DisplayName":"Freedom Health","Names":"Freedom Health Plan|Wellpoint","Aliases":"13286|2100|41212|41212MA|5981|COVKD|FRH01","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"FL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.freedomhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FXORF","PrimaryPayerId":"62324","DisplayName":"Freedom Life Insurance of America","Names":"Freedom Life Insurance Company of America|Freedom Life Insurance of America|USHealthGroup","Aliases":"1820|2134|4669|62324|USHA1|ZTSDW","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"COMMERCIAL|MEDICARE","PtanRequired":"false","ParentPayerGroupId":"FIVMG","ParentPayerGroupName":"UnitedHealth Group","WebsiteUrl":"https://www.ushealthgroup.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZGLZJ","PrimaryPayerId":"A3390","DisplayName":"Fringe Benefit Coordinators","Names":"","Aliases":" 23243|1974|2248|23243|4066|5247|59204|8944|A3390","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://myfringebenefits.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DHNKS","PrimaryPayerId":"93158","DisplayName":"Fringe Benefit Group","Names":"","Aliases":"5056|9101|93158","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://fbg.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LTESQ","PrimaryPayerId":"45289","DisplayName":"Fringe Benefit Group","Names":"FBG|Fringe Benefit Group Inc.|Lone Star Medical Group|Lone Star TPA","Aliases":"11013|45289|5604|6230|7057|8810|LNSTR|LSTAR|QERJV","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"TX","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://fbg.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MDZNB","PrimaryPayerId":"IHS14","DisplayName":"Frontier Direct Care","Names":"Asserta Health","Aliases":"1424|1515|IHS14","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TX","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://frontierdirectcare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ACYZY","PrimaryPayerId":"34171","DisplayName":"FrontPath Health Coalition","Names":"FrontPath Coalition","Aliases":"1966|2299|34171","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://frontpathcoalition.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SAMJM","PrimaryPayerId":"FUL32","DisplayName":"Fulcrum","Names":"","Aliases":"FUL32","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.fulcrumhealthinc.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ILWKV","PrimaryPayerId":"J1633","DisplayName":"Fullerton Union High School District (CA)","Names":"","Aliases":"J1633","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZETJD","PrimaryPayerId":"LT795","DisplayName":"FutureComp","Names":"USI Insurance Services","Aliases":"LT795","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.futurecompclaims.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DHKHV","PrimaryPayerId":"TP117","DisplayName":"Gab Robbins Incorporated","Names":"Arthur J. Gallagher & Co.|GAB Robbins Incorporated|GAB Robins (for Van Tuyl Companies Only)|Gallagher Bassett Services","Aliases":"TP117","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ajg.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JNBPV","PrimaryPayerId":"TP057","DisplayName":"Gallagher Bassett","Names":"","Aliases":"00172|TP057","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.gallagherbassett.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DQZLZ","PrimaryPayerId":"DQZLZ","DisplayName":"Gallagher Bassett – Workers Compensation","Names":"Gallagher Bassett (WC)","Aliases":"DQZLZ","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.gallagherbassett.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MTNGE","PrimaryPayerId":"30005","DisplayName":"Galveston County Indigent Health Care","Names":"","Aliases":"2975|30005|7712","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SRKAW","PrimaryPayerId":"J1519","DisplayName":"Garden Grove Unified School District","Names":"","Aliases":"J1519","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YOTEQ","PrimaryPayerId":"84030","DisplayName":"Garden State Life Insurance Company","Names":"American National","Aliases":"14459|84030","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"NY|TX","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"MQJOW","ParentPayerGroupName":"Brookfield Reinsurance Limited Group","WebsiteUrl":"https://www.americannational.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KXWXW","PrimaryPayerId":"1740445477","DisplayName":"Gardner Family Care -Brms","Names":"Benefit & Risk Management Services","Aliases":"1740445477","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://brmsonline.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XVWKW","PrimaryPayerId":"1730412461","DisplayName":"Gardner Family Health Network -Brms","Names":"Benefit & Risk Management Services","Aliases":"1730412461","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://brmsonline.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SLTEG","PrimaryPayerId":"J1302","DisplayName":"Gate Gourmet 836","Names":"GateGourmet 836","Aliases":"J1302","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MQADV","PrimaryPayerId":"J1066","DisplayName":"Gates Corporation DBA Gates Rubber Company","Names":"Gates Corporation Doing Business As Gates Rubber Company","Aliases":"J1066","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MYBXJ","PrimaryPayerId":"91741","DisplayName":"Gateway Health Plan Medicare Ohio Assured","Names":"","Aliases":"91741","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"QOSPQ","ParentPayerGroupName":"Highmark Group","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"COTRQ","PrimaryPayerId":"75273","DisplayName":"Geisinger Health Plan","Names":"GHP","Aliases":"10611|10612|2559|5473|75273|75273MA|9274|GEISHP|GEISINGERDIRECT|GHP22|TCFAT","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"PA","Programs":"COMMERCIAL|MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"NHDUY","ParentPayerGroupName":"Geisinger Insurance Group","WebsiteUrl":"https://www.geisinger.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JPINQ","PrimaryPayerId":"J1557","DisplayName":"General Electric Automotive","Names":"General Electric Auto","Aliases":"J1557","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZIUOG","PrimaryPayerId":"J1678","DisplayName":"General Parts International","Names":"","Aliases":"J1678","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GHEHW","PrimaryPayerId":"MBJVHL","DisplayName":"Genesee County Health Plan (MB) - JVHL","Names":"Genesee County Health Plan (MB) - Joint Venture Hospital Laboratory","Aliases":"7538|7755|MBJVHL","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"ONE_CLICK","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"ONE_CLICK","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"MI","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.jvhl.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DQGYH","PrimaryPayerId":"CJ7757","DisplayName":"Genesys-Oconee Detention Center SC","Names":"","Aliases":"CJ7757","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"SC","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.genesyshealth.net","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XGAFQ","PrimaryPayerId":"J1895","DisplayName":"Genex Care for Ohio","Names":"Enlyte","Aliases":"J1895","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.enlyte.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RBDAX","PrimaryPayerId":"J1461","DisplayName":"GEO","Names":"","Aliases":"J1461","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SWSNF","PrimaryPayerId":"A2327","DisplayName":"Georgia Health Advantage","Names":"American Health Plans","Aliases":"14391|31140|31140MA|5032|8879|A2327","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"GA","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://georgiahealthadvantage.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WIMGE","PrimaryPayerId":"GHAOP","DisplayName":"GHA Orthopedic Providers (Cedar Gate Technologies)","Names":"GHA Orthopedic Providers, Inc","Aliases":"GHAOP","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cedargate.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VEHUG","PrimaryPayerId":"J1927","DisplayName":"Gillette Children's Specialty Healthcare","Names":"","Aliases":"J1927","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CEDUZ","PrimaryPayerId":"L0110","DisplayName":"Global Care (Nicaraguan American Medical Care International)","Names":"Global Care (North American Medical Center, Inc. - NAMCI)","Aliases":"8221|L0110","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LSOGX","PrimaryPayerId":"MPM05","DisplayName":"Global Care Medical Group IPA","Names":"Global Care Medical Group IPA|Global Care Medical Group Independent Practice Association|Health Care LA IPA (HCLA)|MPM|MedPOINT Management, Inc.","Aliases":"5870|8692|MPM05","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medpointmanagement.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KQSJH","PrimaryPayerId":"GEM01","DisplayName":"Global Excel","Names":"Global Excel Management","Aliases":"4658|6185|GEM01|ZP4021","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://globalexcel.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZXRWY","PrimaryPayerId":"65074","DisplayName":"Global Excel","Names":"OMHC|Olympus Managed Health Care","Aliases":"65074|6812|6988","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://globalexcel.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DRJXR","PrimaryPayerId":"ZP6443","DisplayName":"Global Life Insurance Keybank","Names":"","Aliases":"ZP6443","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://eprovider.globelifeinc.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EXYKZ","PrimaryPayerId":"GMICC","DisplayName":"Global Medical Management International Customer Care","Names":"GMMI, LLC|Redion","Aliases":"6042|9196|GMICC","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.gmmi.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CNJOT","PrimaryPayerId":"GLOBAL1","DisplayName":"Global One Ventures","Names":"Global 1","Aliases":"2089|8237|GLOBA|GLOBAL1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://g1surgery.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IDKNS","PrimaryPayerId":"MPM64","DisplayName":"Global TBSP","Names":"MedPOINT Management","Aliases":"1767|1988|MPM64","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medpointmanagement.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BNOCU","PrimaryPayerId":"GHAWH","DisplayName":"Global Women's Health (Cedar Gate Technologies)","Names":"Global Women's Health Providers Inc.","Aliases":"GHAWH","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.gwhproviders.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RTBHM","PrimaryPayerId":"GHOKC","DisplayName":"GlobalHealth","Names":"","Aliases":"14300|3629|5814|GHOK0|GHOKC","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"OK","Programs":"COMMERCIAL|MEDICARE","PtanRequired":"false","ParentPayerGroupId":"FABHM","ParentPayerGroupName":"MHH Healthcare Group","WebsiteUrl":"https://www.globalhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NCDYF","PrimaryPayerId":"GHTX0","DisplayName":"GlobalHealth Texas","Names":"","Aliases":"6070|9229|GHTX0|GLOBH","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TX","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.globalhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HKJZT","PrimaryPayerId":"10988","DisplayName":"Globe Life","Names":"Globe Life and Accident Insurance Company","Aliases":"10988|4064|91472|GLOBE|Z96300","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL|MEDICARE","PtanRequired":"false","ParentPayerGroupId":"HNSBU","ParentPayerGroupName":"Globe Life Incorporated Group","WebsiteUrl":"https://home.globelifeinsurance.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OJKTI","PrimaryPayerId":"10987","DisplayName":"Globe Life Insurance Company of New York","Names":"First United American Insurance Company|Wisconsin Department of Corrections","Aliases":"10987|4069|74101|8813|FUNAI","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"HNSBU","ParentPayerGroupName":"Globe Life Incorporated Group","WebsiteUrl":"https://www.globelifeofnewyork.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UCELB","PrimaryPayerId":"IHS20","DisplayName":"Gloria Gates CARE","Names":"Gloria Gates Management","Aliases":"1418|8066|IHS20","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"PA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://gloriagatescare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LHMWZ","PrimaryPayerId":"GMPER","DisplayName":"GMP Employers Retiree Trust","Names":"","Aliases":"00121|23641|4159|6527|GMPER","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://gmptrust.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LFOSX","PrimaryPayerId":"85664","DisplayName":"GMR Healthcare","Names":"","Aliases":"1041|7869|85664","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RTYDE","PrimaryPayerId":"47083","DisplayName":"GMS","Names":"GMS Inc|GMS Incorporated","Aliases":"00075|47083|4919|5853","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"OH","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.groupmgmt.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QEAKI","PrimaryPayerId":"77160","DisplayName":"Gold Coast Health Plan","Names":"GCHP","Aliases":"11063|4616|6128|77160","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.goldcoasthealthplan.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JDSNA","PrimaryPayerId":"A6865","DisplayName":"Gold Kidney Health Plan","Names":"Gold Kidney of Arizona","Aliases":"16601|16738|8048|9766|A6865|A6865MA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"AZ","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"CXWUB","ParentPayerGroupName":"Gold Kidney Health Plan Inc Group","WebsiteUrl":"https://goldkidney.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JIQVC","PrimaryPayerId":"GCMSO","DisplayName":"Golden Coast MSO","Names":"Golden Coast Management Services Organization","Aliases":"6009|9158|GCMSO","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.goldencoastmso.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LWXQR","PrimaryPayerId":"J1067","DisplayName":"Golden Corral Corporation","Names":"","Aliases":"J1067","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YJODX","PrimaryPayerId":"J1430","DisplayName":"Golden Eagle","Names":"","Aliases":"J1430","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KPKVW","PrimaryPayerId":"GPMG2","DisplayName":"Golden Physician Medical Group","Names":"","Aliases":"GPMG2","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"INRAO","PrimaryPayerId":"37602","DisplayName":"Golden Rule","Names":"Golden Rule Insurance Company|UnitedHealthOne Golden Rule","Aliases":"10652|37602|4515|6483|GLDRUL","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"FIVMG","ParentPayerGroupName":"UnitedHealth Group","WebsiteUrl":"","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FZMTV","PrimaryPayerId":"MBA01","DisplayName":"Golden State Medical Group","Names":"Medical Benefits Administration|Nivano Physicians Independent Practice Association|Sierra Nevada Medical Association","Aliases":"3231|4945|MBA01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://nivanophysicians.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CJRWF","PrimaryPayerId":"J1306","DisplayName":"Golden State Supply","Names":"","Aliases":"J1306","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ITONB","PrimaryPayerId":"GWD01","DisplayName":"Golden West Dental & Vision","Names":"Golden West Dental","Aliases":"16700|GWD01","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|vision","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"VJLBL","ParentPayerGroupName":"Anthem","WebsiteUrl":"https://www.anthem.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NACJU","PrimaryPayerId":"GMGSA","DisplayName":"Gonzaba Medical Group","Names":"Health Collaborative","Aliases":"3017|8266|GMGSA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TX","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.gonzaba.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VHBDZ","PrimaryPayerId":"J1647","DisplayName":"Good Samaritan Hospital","Names":"","Aliases":"GSH01|J1647","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DRBEL","PrimaryPayerId":"GSMPA","DisplayName":"Good Samaritan IPA","Names":" Coast Healthcare Management","Aliases":"3279|GSMPA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"ONE_CLICK","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.coasthealthcarellc.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LVLIO","PrimaryPayerId":"J1462","DisplayName":"Goodrich","Names":"","Aliases":"J1462","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BNBHR","PrimaryPayerId":"J1621","DisplayName":"Goodwill Industries","Names":"","Aliases":"J1621","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GIVRW","PrimaryPayerId":"58204","DisplayName":"Grady Healthcare Incorporated","Names":"","Aliases":"1892|58204","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KFVRK","PrimaryPayerId":"J1566","DisplayName":"Grand River Insurance","Names":"","Aliases":"J1566","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZXURY","PrimaryPayerId":"14303","DisplayName":"Grange Insurance","Names":"Integrity Workers' Compensation","Aliases":"14303","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"AZ|CO|GA|IL|IA|KS|MN|MO|NE|NV|ND|OH|OR|SD|UT|WA|WI","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.grangeinsurance.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MDOLB","PrimaryPayerId":"10322","DisplayName":"Grange Mutual Casualty Company","Names":"Grange Insurance|Integrity Mutual Insurance Company","Aliases":"10322","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"MO","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.grangeinsurance.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JLIRM","PrimaryPayerId":"14060","DisplayName":"Grange Workers' Compensation","Names":"Grange Insurance","Aliases":"14060","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.grangeinsurance.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WXNYQ","PrimaryPayerId":"25984","DisplayName":"Graphic Arts Mutual","Names":"Utica National","Aliases":"25984","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.uticanational.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VMWOV","PrimaryPayerId":"GRV01","DisplayName":"Gravie","Names":"Gravie Administrative Services","Aliases":"14429|7058|9439|GRAVIE|GRV01","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"MN","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.gravie.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DMNBC","PrimaryPayerId":"26832","DisplayName":"Great American Alliance Insurance Company","Names":"","Aliases":"26832","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.greatamericaninsurancegroup.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JRGON","PrimaryPayerId":"26344","DisplayName":"Great American Assurance Company","Names":"","Aliases":"26344","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HXBAB","PrimaryPayerId":"16691","DisplayName":"Great American Insurance Company","Names":"","Aliases":"16691","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DLECT","PrimaryPayerId":"22136","DisplayName":"Great American Insurance Company of New York","Names":"Great American Insurance Group","Aliases":"22136","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.greatamericaninsurancegroup.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JBEBR","PrimaryPayerId":"GAIMS","DisplayName":"Great American Life Assurance Company","Names":"","Aliases":"GAIMS","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DSUFW","PrimaryPayerId":"04036","DisplayName":"Great Bay Administrators","Names":"","Aliases":"04036","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.greatbayadministrators.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EUYMI","PrimaryPayerId":"J1308","DisplayName":"Great Central","Names":"","Aliases":"J1308","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UHJLD","PrimaryPayerId":"25224","DisplayName":"Great Divide Insurance","Names":"W. R. Berkley Corporation","Aliases":"25224","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"ND","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.berkley.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DWXLQ","PrimaryPayerId":"Z96477","DisplayName":"Great Southern Life Insurance Company","Names":"","Aliases":"GSLIC|Z96477","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"MKFKG","ParentPayerGroupName":"Financial Holdings Group","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IXBFE","PrimaryPayerId":"99284","DisplayName":"Greater Covina Medical Group","Names":"","Aliases":"8133|99284|GCMG1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.gcmg.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LAXOB","PrimaryPayerId":"GOBHI","DisplayName":"Greater Oregon Behavioral Health","Names":"Greater Oregon Behavioral Health Incorporated","Aliases":"GOBHI","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TJTXO","PrimaryPayerId":"J1642","DisplayName":"Green Diamond Washington","Names":"","Aliases":"J1642","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VQKQW","PrimaryPayerId":"1588650840","DisplayName":"Greentree Manor - Ihp","Names":"Greentree Manor - Ihp","Aliases":"1588650840","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GOJBX","PrimaryPayerId":"J1571","DisplayName":"Grinnell Reinsurance Company","Names":"","Aliases":"J1571","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MSQWR","PrimaryPayerId":"J1541","DisplayName":"Grinnell Select","Names":"","Aliases":"J1541","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MECVP","PrimaryPayerId":"36338","DisplayName":"Group Administrators Ltd","Names":"Group Administrators Limited","Aliases":"1770|36338|8501","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.groupadministrators.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PYXZF","PrimaryPayerId":"101045","DisplayName":"Group and Pension Administrators","Names":"","Aliases":"101045|DX034|RECAL","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.imagine360.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BWFKW","PrimaryPayerId":"80241","DisplayName":"Group Benefit Services","Names":"GBS|Group Benefit Services Incorporated","Aliases":"66613|7116|7672|80241","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://gbs-tpa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QRLCI","PrimaryPayerId":"95192","DisplayName":"Group Health Cooperative of Eau Claire","Names":"CommunityConnect HealthPlan|Compare (Wisconsin BadgerCare Only)|Cooperative Smart Plan","Aliases":"00387|5970|7453|95192","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"WI","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://group-health.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HPLJQ","PrimaryPayerId":"39167","DisplayName":"Group Health Cooperative of South Central Wisconsin","Names":"","Aliases":"10006|1876|39167|8990","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"WI","Programs":"COMMERCIAL|MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://ghcscw.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LXFJB","PrimaryPayerId":"11041","DisplayName":"Group Health Northwest","Names":"","Aliases":"11041","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"WA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://healthy.kaiserpermanente.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TGNFM","PrimaryPayerId":"25141","DisplayName":"Group Health Plan (GHP)","Names":"","Aliases":"25141","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JASME","PrimaryPayerId":"10964","DisplayName":"Group Hospitalization and Medical Services","Names":"","Aliases":"10964","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"MD|VA|DC","Programs":"","PtanRequired":"false","ParentPayerGroupId":"ABWFT","ParentPayerGroupName":"CareFirst Incorporated Group","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QGZSI","PrimaryPayerId":"OBA16","DisplayName":"Group Management Services","Names":"GMS","Aliases":"OBA16","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.groupmgmt.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AIDIP","PrimaryPayerId":"66701","DisplayName":"Group Marketing Services","Names":"","Aliases":"3005|66701|8253","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"MI","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.groupmarketingservices.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XKCUH","PrimaryPayerId":"CX015","DisplayName":"GroupLink","Names":"","Aliases":"CX015","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FWGSN","PrimaryPayerId":"J1068","DisplayName":"GSE Lining Technology Incorporated","Names":"","Aliases":"J1068","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NMQZA","PrimaryPayerId":"7517","DisplayName":"Guarantee Trust Life","Names":"Guarantee Trust Life Insurance Company","Aliases":"36117|6979|7517|9180|ZP4023","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"SZBFR","ParentPayerGroupName":"Guarantee Trust Group","WebsiteUrl":"https://gtlic.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EOFHN","PrimaryPayerId":"64246","DisplayName":"Guardian","Names":"First Commonwealth|Guardian Dental|Guardian Managed Dentalguard|Managed Dental Care|The Guardian Life Insurance Company of America","Aliases":"00159|00410|10788|4517|6409|64246|KHXPG|TLZ41","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"BPMHQ","ParentPayerGroupName":"Guardian Life Group","WebsiteUrl":"https://www.guardianlife.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MHWTI","PrimaryPayerId":"11081","DisplayName":"Guidehealth","Names":"Arcadia Healthcare Solutions - IPG|Arcadia Healthcare Solutions - Integrated Provider Group","Aliases":"11081|8017|9734","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://guidehealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SMWGS","PrimaryPayerId":"36363","DisplayName":"Guidehealth Behavioral Health Network","Names":"","Aliases":"36363","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://guidehealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PMTZN","PrimaryPayerId":"J1590","DisplayName":"GuideOne Elite Insurance","Names":"","Aliases":"J1590","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AWYOP","PrimaryPayerId":"J1574","DisplayName":"GuideOne Mutual Insurance","Names":"","Aliases":"J1574","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ESDOL","PrimaryPayerId":"99943","DisplayName":"Gulf Guaranty","Names":"MedPlus","Aliases":"4060|8804|99943","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.tmhcc.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CJRKH","PrimaryPayerId":"THM01","DisplayName":"Gulf Guaranty Health","Names":"Tokio Marine HCC","Aliases":"THM01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.tmhcc.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DRNOH","PrimaryPayerId":"60389","DisplayName":"Gulf South Risk Services (Valenz)","Names":"Gulf Coast Claims Service|Gulf South|UCS|United Claim Solutions|Vālenz Health","Aliases":"00326|60389|7014|9296","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.valenzhealth.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UNLEM","PrimaryPayerId":"80705","DisplayName":"GWH Cigna (Great West Healthcare)","Names":"New England Financial|One Health Plan","Aliases":"10062|80705","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"BDKOJ","ParentPayerGroupName":"Cigna","WebsiteUrl":"https://www.cigna.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LDFEZ","PrimaryPayerId":"63665","DisplayName":"GWH-Cigna","Names":"General American Life Insurance Company|Great-West Healthcare|Sanus Health Maintenance Organization Preferred Provider Organization St. Louis","Aliases":"63665","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"BDKOJ","ParentPayerGroupName":"Cigna","WebsiteUrl":"https://www.cigna.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JYGPH","PrimaryPayerId":"LV212","DisplayName":"Gwinnett County Public School","Names":"","Aliases":"00281|LV212","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"GA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.gcpsk12.org","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EDYSK","PrimaryPayerId":"J1672","DisplayName":"H&R Block","Names":"","Aliases":"J1672","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EWKEW","PrimaryPayerId":"65101","DisplayName":"HAA Preferred Partners","Names":"","Aliases":"4679|5206|65101","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZFWMY","PrimaryPayerId":"HALCY","DisplayName":"Halcyon Behavioral Health","Names":"","Aliases":"HALCY","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.simpletherapy.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PYJWZ","PrimaryPayerId":"HALOS","DisplayName":"Halos Systems","Names":"ElderONE PACE|Vernier Health","Aliases":"3715|9030|HALOS","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.vernier.health","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UZKDR","PrimaryPayerId":"47738","DisplayName":"Hamaspik","Names":"Hamaspik Choice (Managed Long-Term Care)|Hamaspik Inc. (Medicare Choice)|Hamaspik Inc. (Medicare Select Health Maintenance Organization Dual-Eligible Special Needs Plan)","Aliases":"47738|47738MA|7288|9664","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.hamaspik.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HRUAV","PrimaryPayerId":"J1463","DisplayName":"Hannaford","Names":"","Aliases":"J1463","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"COLBW","PrimaryPayerId":"J1693","DisplayName":"Hanover Insurance Company","Names":"The Hanover Insurance Group","Aliases":"1143|J1693|WP927","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.hanover.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JGPVJ","PrimaryPayerId":"JGPVJ","DisplayName":"Hanover Insurance Company – Workers Compensation","Names":"Hanover Insurance Company (WC)","Aliases":"JGPVJ","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OITIT","PrimaryPayerId":"J1588","DisplayName":"Hanover Lloyds Insurance Company","Names":"","Aliases":"00375|J1588","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EVLZK","PrimaryPayerId":"JBJVHL","DisplayName":"HAP CareSource (JB) - JVHL","Names":"HAP CareSource - Joint Venture Hospital Laboratory","Aliases":"2764|4992|JBJVHL","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"ONE_CLICK","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"ONE_CLICK","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XWOHM","PrimaryPayerId":"MIMCRCS1","DisplayName":"HAP CareSource MI Health Link","Names":"Health Alliance Plan CareSource MI Health Link (Medicare-Medicaid Plan)","Aliases":"14426|1797|2697|MIMCRCS1|MIMR1","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"MI","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"OMHGV","ParentPayerGroupName":"Henry Ford Health System Group","WebsiteUrl":"https://www.caresource.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XMKSA","PrimaryPayerId":"HARBR","DisplayName":"Harbor Health","Names":"Harbor Health Insurance Company","Aliases":"3798|9058|HARBR","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TX","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://harborhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ENOZQ","PrimaryPayerId":"J1595","DisplayName":"Harleysville Insurance Company","Names":"","Aliases":"J1595","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AIKIN","PrimaryPayerId":"10514","DisplayName":"Harmony Health Plan","Names":"Wellcare Health Plans","Aliases":"10514|3218|36406|8505|HARHP14163|HARM1","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IL","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"RZIUK","ParentPayerGroupName":"Centene Corporation Group","WebsiteUrl":"https://www.wellcare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UADLB","PrimaryPayerId":"62061","DisplayName":"Harrington Health-Kansas (formerly known as Fiserv Health-Kansas)","Names":"Harrington Health-Kansas (Formerly Known as Fiserv Health-Kansas)","Aliases":"1806|62061|8521","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WGSOK","PrimaryPayerId":"C1046","DisplayName":"Hartford Accident and Indemnity Company","Names":"","Aliases":"C1046","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.thehartford.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QVBGW","PrimaryPayerId":"C1041","DisplayName":"Hartford Casualty Insurance Company","Names":"","Aliases":"C1041","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.thehartford.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NTGPT","PrimaryPayerId":"C1040","DisplayName":"Hartford Fire Insurance Company","Names":"Hartford Insurance Company Illinois|Hartford Insurance Company of the Southeast|Pacific Insurance Company Ltd|Sentinel Insurance Company Ltd|The Hartford|Trumball Insurance Company|Twin Cities Fire Insurance Company","Aliases":"C1040","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.thehartford.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AYPJQ","PrimaryPayerId":"C1043","DisplayName":"Hartford Insurance Company of the Midwest","Names":"","Aliases":"C1043","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.thehartford.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ASWRA","PrimaryPayerId":"C1044","DisplayName":"Hartford Life and Accident Insurance Company","Names":"","Aliases":"C1044","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.thehartford.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VXQWP","PrimaryPayerId":"VXQWP","DisplayName":"Hartford Life and Accident Insurance Company – Workers Compensation","Names":"Hartford Life and Accident Insurance Company (WC)","Aliases":"VXQWP","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.thehartford.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JUMNC","PrimaryPayerId":"C1047","DisplayName":"Hartford Life and Annuity Insurance Company","Names":"The Hartford Life and Annuity Insurance Company","Aliases":"C1047","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.thehartford.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HBYRU","PrimaryPayerId":"C1045","DisplayName":"Hartford Life Insurance Company","Names":"","Aliases":"C1045","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.thehartford.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BMULJ","PrimaryPayerId":"C1042","DisplayName":"Hartford Underwriters Insurance Company","Names":"","Aliases":"C1042","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.thehartford.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BVDTK","PrimaryPayerId":"04245","DisplayName":"Harvard Community Health Plan","Names":"","Aliases":"04245|04245MA|7105|7619","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZKCOE","PrimaryPayerId":"04271","DisplayName":"Harvard Pilgrim Health Care","Names":"Health Plans Inc - HPI|Point32Health|UnitedHealthcare - Harvard Pilgrim","Aliases":"04271|100141|10376|16570|2742|6512|HPHC0001|HPHCS|HRVPGM","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"ME|MA|NH|RI|VT","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"CNSWD","ParentPayerGroupName":"Harvard Pilgrim Health Care","WebsiteUrl":"https://www.harvardpilgrim.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZLKWJ","PrimaryPayerId":"ZP702","DisplayName":"Hastings Mutual","Names":"Hastings Mutual","Aliases":"ZP702","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QLQJZ","PrimaryPayerId":"99010","DisplayName":"Hawaii Dental Service","Names":"Delta Dental of Hawaii|HDS","Aliases":"10721|99010|DEHI1","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"OVER_4_WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"HI","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.hawaiidentalservice.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KGJGK","PrimaryPayerId":"ZP551","DisplayName":"Hawaii Employers Mutual Insurance Co Inc","Names":"Hawaii Employers Mutual Insurance Co Inc","Aliases":"ZP551","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"HI","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://hemic.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VDLTR","PrimaryPayerId":"86066","DisplayName":"Hawaii-Mainland Administrators","Names":"HMA|Hawaii-Mainland Administrators|Provider Network of America (PNOA)|Verdegard Administrators","Aliases":"11112|1981|4753|86066|HMADMN","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://verdegard.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HIQBJ","PrimaryPayerId":"48330","DisplayName":"Hawaii-Western Management Group","Names":"HMAA|HWMG|Hawaii Management Alliance Association|Hawaii Medical Assurance Association (HMAA Hawaii-Western Management Group)","Aliases":"11125|1902|2280|48330|99208|GJYFG|HMAASC","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"HI","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://hwmg.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IEQPL","PrimaryPayerId":"J1426","DisplayName":"Hawkeye","Names":"","Aliases":"J1426","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GBVSI","PrimaryPayerId":"J1450","DisplayName":"HCA","Names":"Hospital Corporation of America","Aliases":"J1450","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.hcahealthcare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BIEHI","PrimaryPayerId":"HCCMI","DisplayName":"HCC Life Insurance","Names":"Tokio Marine HCC","Aliases":"6798|HCCMI","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.tmhcc.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CHGKY","PrimaryPayerId":"37329","DisplayName":"HCHA Albuquerque","Names":"Healthcare Association Albuquerque|Healthcare Association Albuquerque - Self Funded","Aliases":"37329","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EDGHB","PrimaryPayerId":"J4400","DisplayName":"HeadsUp Healthcare","Names":"Carisk Partners","Aliases":"00322|J4400","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.headsupcare.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YIDSD","PrimaryPayerId":"55213","DisplayName":"Health 2 Business","Names":"H2B|Health2Business","Aliases":"55213|6036|9188","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"ID|KY|MO|OH|OR","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://health2business.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SDWXD","PrimaryPayerId":"77950","DisplayName":"Health Alliance (Illinois)","Names":"Health Alliance Medical Plans of Illinois","Aliases":"10871|2494|2509|524|77950|77950MA|HALLS|HLTAIL|OEMZG","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"IL|IN|IA","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.healthalliance.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UCRIE","PrimaryPayerId":"38224","DisplayName":"Health Alliance Plan (Michigan)","Names":"Alliance Health and Life Insurance Company|HAP|Health Alliance Plan of Michigan|Medical Value Plan Ohio","Aliases":"10308|38224|382242827|38224MA|6466|6513|HAPMC|HAPMI|SJGZV","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"MI","Programs":"COMMERCIAL|MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.hap.org","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VAZBC","PrimaryPayerId":"NDMSA","DisplayName":"Health and Human Services National Disaster Medical System","Names":"ASPR|Administration for Strategic Preparedness and Response|Health and Human Service National Disaster Medical System","Aliases":"7879|HBI01|NDMSA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NATIONAL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://aspr.hhs.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZCFDB","PrimaryPayerId":"PBHD1","DisplayName":"Health Care District of Palm Beach County","Names":"Community Care Plan|HCDPBC|Palm Beach Health District","Aliases":"2014|8147|PBHD1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"FL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://ccpcares.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TDXYF","PrimaryPayerId":"MPM06","DisplayName":"Health Care Los Angeles Independent Practice Association (HCLA)","Names":"MedPOINT Management","Aliases":"5840|9676|MPM06","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medpointmanagement.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SHLUC","PrimaryPayerId":"RP105","DisplayName":"Health Choice BCBS of Arizona ACA","Names":"ACA StandardHealth with Health Choice|AZ Blue|Blue Cross Blue Shield of Arizona","Aliases":"2708|7595|RP105","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"AZ","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.azblue.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OTBAL","PrimaryPayerId":"45399","DisplayName":"Health Choice Utah","Names":"","Aliases":"45399|6775|7623","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"UT","Programs":"","PtanRequired":"false","ParentPayerGroupId":"APYXI","ParentPayerGroupName":"University of Utah Group","WebsiteUrl":"https://healthchoiceutah.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CDBVG","PrimaryPayerId":"62111","DisplayName":"Health Cost Solutions","Names":"","Aliases":"3805|3917|62111|HCOSTS","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DTYLE","PrimaryPayerId":"A5234","DisplayName":"Health First","Names":"","Aliases":"A5234","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.hf.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ELSAC","PrimaryPayerId":"95019","DisplayName":"Health First","Names":"Health First Health Plans|Health First Health Plans - National","Aliases":"10673|3205|6685|95019|95019MA|HLFRT|RP039|WDCLN|XHFHP","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"FL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.hf.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IEMTN","PrimaryPayerId":"COTXIX","DisplayName":"Health First Colorado","Names":"Colorado Department of Healthcare Policy & Financing|Colorado Medicaid |Colorado Medical Assistance Program|Medicaid Colorado","Aliases":"100083|10065|1496|1548|1548I|166|77016|CKCO1|COCAID|COMCD|COTXIX|CO_TXIX|SKCO0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"HOURS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"HOURS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"true","DentalClaimEnrollmentType":"MULTI_STEP","DentalClaimEnrollmentTimeframe":"HOURS","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"CO","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.healthfirstcolorado.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZBSUM","PrimaryPayerId":"IHS09","DisplayName":"Health In Tech","Names":"","Aliases":"5065|9110|IHS09","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://healthintech.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PHRMB","PrimaryPayerId":"95567","DisplayName":"Health Net Claims (California Oregon)","Names":"Centene|Health Net|Qual Medical Colorado|Qual Medical Portland","Aliases":" 95567|00213|06108|10385|22340|2855|6514|954402957|95567|95567MA|ANGQC|GQLEF|HM001|HNNC|NTRSH|QMDCE|QMDPO|XHNNC|Z1378","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"SUPPORTED","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"CA|OR","Programs":"","PtanRequired":"false","ParentPayerGroupId":"RZIUK","ParentPayerGroupName":"Centene Corporation Group","WebsiteUrl":"https://www.healthnet.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SDMHP","PrimaryPayerId":"65062","DisplayName":"Health Network One","Names":"Care Access Health Plan|Centene|HN1","Aliases":"12K89|3442|5229|65062|65062MA|6910|8998|A1680","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://embossspecialty.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LKSUO","PrimaryPayerId":"HBC01","DisplayName":"Health Network Solutions (HNS) - Blue Cross Blue Shield of North Carolina","Names":"Health Network Solutions (HNS) - Blue Cross Blue Shield North Carolina","Aliases":"7206|HBC01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.healthnetworksolutions.net","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EMIKE","PrimaryPayerId":"HMC01","DisplayName":"Health Network Solutions (HNS) - MedCost NC","Names":"Health Network Solutions (HNS) - MedCost North Carolina","Aliases":"7199|HMC01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.healthnetworksolutions.net","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MKXYG","PrimaryPayerId":"HCI01","DisplayName":"Health Network Solutions - Cigna North Carolina","Names":"","Aliases":"7205|HCI01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IMZPF","PrimaryPayerId":"10627","DisplayName":"Health New England","Names":"Baystate Health","Aliases":"04286|04286MA|10627|3628|6432|HLTNE","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"CT|MA","Programs":"COMMERCIAL|MEDICARE","PtanRequired":"false","ParentPayerGroupId":"MOCVF","ParentPayerGroupName":"Baystate Health Group","WebsiteUrl":"https://healthnewengland.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SMJDJ","PrimaryPayerId":"36368","DisplayName":"Health Options of Illinois","Names":"","Aliases":"36368","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JSIUL","PrimaryPayerId":"80142","DisplayName":"Health Partners Plans","Names":"Health Partners PA|Health Partners Plans CHIP|Health Partners Plans Medicaid|Jefferson Health Plans|Jefferson Health Plans Individual and Family|Jefferson Health Plans Medicare Advantage HMO","Aliases":"00097|2822|4572|80142|80142MA|HPART|HPPHIL","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL|MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.healthpartnersplans.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QHYCD","PrimaryPayerId":"HPPA","DisplayName":"Health Partners Plans","Names":"Health Partners Philadelphia|Jefferson Health Plans","Aliases":"HPPA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"23-2379751","CoverageTypes":"dental|medical","OperatingStates":"PA","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.healthpartnersplans.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SOBDQ","PrimaryPayerId":"20270","DisplayName":"Health Payment Systems Incorporated","Names":"HPS|HPS/Trilogy","Aliases":"20270|4768|5616","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://hps.md","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IFIUB","PrimaryPayerId":"76342","DisplayName":"Health Plan of Nevada","Names":"EVV Health Plan Nevada UHC|Health Plan Nevada|Health Plan of Nevada - Encounters|Senior Dimensions|Sierra Health Services|Sierra Health and Life|Sierra Health and Life - Encounters","Aliases":"10282|10804|10837|11023|1994|3880|76342|76343|96342|SIERA|TIWAL|Z96281","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NV","Programs":"","PtanRequired":"false","ParentPayerGroupId":"FIVMG","ParentPayerGroupName":"UnitedHealth Group","WebsiteUrl":"https://healthplanofnevada.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SBUGJ","PrimaryPayerId":"68035","DisplayName":"Health Plan of San Joaquin","Names":"Health Plan San Joaquin (HPSJ)|Mountain Valley Health Plan|San Joaquin Health Administrators","Aliases":"10177|3469|4682|68035|HPSJ02|HPSJ1|SJHP","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"ONE_CLICK","ProfessionalClaimEnrollmentTimeframe":"DAYS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"ONE_CLICK","InstitutionalClaimEnrollmentTimeframe":"DAYS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.hpsj.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RXFEO","PrimaryPayerId":"HPSM1","DisplayName":"Health Plan of San Mateo","Names":"Care Advantage|HPSM","Aliases":"10362|12X74|4292|5678|HPOSM|HPSM1|HPSM1MA|SX174","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"CA","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.hpsm.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NPLIT","PrimaryPayerId":"44273","DisplayName":"Health Plans Incorporated","Names":"HPI|Harvard Pilgrim|Health Plans, Inc.","Aliases":"00412|10802|1889|1909|44273|HLPLNS|SEZHV","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://hpitpa.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VYQHB","PrimaryPayerId":"28804","DisplayName":"Health Plus Private Health Services Plan","Names":"","Aliases":"28804","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OMTWL","PrimaryPayerId":"37290","DisplayName":"Health Services for Children with Special Needs","Names":"HSCSN","Aliases":"10584|1920|2297|37290","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"DC","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.hscsnhealthplan.org","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NHJUI","PrimaryPayerId":"41150","DisplayName":"Health Services Management","Names":"","Aliases":"1712|41150","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XUCQO","PrimaryPayerId":"ORHSM","DisplayName":"Health Share of Oregon","Names":"Health Share Oregon","Aliases":"10823|77122|ORHSM","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"OR","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.healthshareoregon.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GPZAK","PrimaryPayerId":"65449","DisplayName":"Health Special Risk Incorporated","Names":"","Aliases":"65449|6667|6770","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.hsri.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XRIAJ","PrimaryPayerId":"HTHTX","DisplayName":"Health Texas Medical Group","Names":"","Aliases":"2699|6800|HTHTX|HTHTXMA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HKWDY","PrimaryPayerId":"HVPNI","DisplayName":"Health Valley Provider Network","Names":"","Aliases":"7060|9442|HVPNI","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.qualcareipa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IONCT","PrimaryPayerId":"74853","DisplayName":"HealthBridge","Names":"HealthBridge Financial","Aliases":"4046|74853|8775|HLTBR","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.myhealthbridge.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ABZYT","PrimaryPayerId":"HCHHP","DisplayName":"Healthcare Highways Health Plan","Names":"HCH Health Plan|Healthcare Highways","Aliases":"1280|3087|6526|8713|HCH01|HCHHP|PEVTQ","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.healthcarehighways.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CXLJF","PrimaryPayerId":"HMA01","DisplayName":"Healthcare Management Administrators (HMA)","Names":"","Aliases":"00026|11084|5243|8920|HMA01|HMAWR","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"WA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.accesshma.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LFVLB","PrimaryPayerId":"42102","DisplayName":"Healthcare Network Wisconsin (HCN)","Names":"","Aliases":"3899|42102|4571","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AXZXQ","PrimaryPayerId":"11328","DisplayName":"HealthCare Partners","Names":"HealthCare Partners IPA|HealthCare Partners, MSO","Aliases":"11328|11328MA|1723|2920|HCP01","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NY","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.healthcarepartnersny.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CKTEZ","PrimaryPayerId":"20501","DisplayName":"HealthCare Partners Nevada","Names":"Healthcare Partners Nevada","Aliases":"20501|4653|6178","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ETIXY","PrimaryPayerId":"56731","DisplayName":"Healthcare Resources Northwest","Names":"","Aliases":"2174|4954|56731","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VASRE","PrimaryPayerId":"73147","DisplayName":"HealthCare Solutions Group (90 Degree Benefits)","Names":"HSG","Aliases":"3965|4267|73147","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://90degreebenefits.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NGIVC","PrimaryPayerId":"HSICS","DisplayName":"Healthcare Strategic Initiatives","Names":"","Aliases":"2095|8243|HSICS","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UERJK","PrimaryPayerId":"95376","DisplayName":"Healthchoice of Connecticut","Names":"YNHH|Yale New Haven Health","Aliases":"14505|95376","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"CT","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ynhhs.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HUZUL","PrimaryPayerId":"71064","DisplayName":"HealthChoice of Oklahoma","Names":"","Aliases":"11148|71064|7511|7748|J71064","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"OK","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://oklahoma.gov/healthchoice.html","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FAQBH","PrimaryPayerId":"71070","DisplayName":"HealthChoice Select","Names":"","Aliases":"4137|71070|9098","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CHVJH","PrimaryPayerId":"COSAZ","DisplayName":"Healthcosmos Medical Group LLC","Names":"Health Cosmos Arizona Medical Group","Aliases":"8039|9757|COSAZ","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.healthcosmosaz.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XHTHV","PrimaryPayerId":"95213","DisplayName":"HealthEdge Administrators","Names":"HealthEdge Administrators (Bakersfield California)","Aliases":"6810|95213|9623","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://healthedgeinc.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WHYKB","PrimaryPayerId":"43700","DisplayName":"HealthEquity","Names":"Health Equity","Aliases":"43700|9755","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"52-2383166","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.healthequity.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OCUOU","PrimaryPayerId":"41178","DisplayName":"HealthEZ","Names":"America's PPO|America's Preferred Provider Organization|America's TPA","Aliases":"10656|16120|2143|41178|4905|54206|6986|7424|HLTEZ","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://healthez.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FTVES","PrimaryPayerId":"80141","DisplayName":"Healthfirst","Names":"Healthfirst (New York)|Healthfirst Health Plan|Healthfirst Health Plan of New Jersey|Healthfirst Incorporated New York|Healthfirst Insurance Company|Healthfirst of New York|Senior Health Partners","Aliases":"10099|10438|1854|1973|80141|80141MA|80141MC|80141T|HF1NY|HFNY|NYHFST|VUHSI|XHFNJ","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"NJ|NY","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://hfproviders.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QCRFA","PrimaryPayerId":"HFRST","DisplayName":"Healthfirst (Health Insurance for New Yorkers)","Names":"Health First Insurance","Aliases":"10674|HFRST","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NY","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://healthfirst.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"INFLM","PrimaryPayerId":"75234","DisplayName":"HealthFirst TPA","Names":"Health First Third Party Administrator Tyler|Healthfirst - Tyler, TX|Imagine360","Aliases":"1768|6568|75234","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://hfbenefits.imagine360.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"URBNJ","PrimaryPayerId":"75289","DisplayName":"HealthFirst TPA (Austin)","Names":"Health First TPA Austin|Imagine360","Aliases":"3612|5179|75289","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://hfbenefits.imagine360.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ELXGL","PrimaryPayerId":"56144","DisplayName":"Healthgram","Names":"Healthgram Incorporated","Aliases":"10692|1757|56144|6595|HGRAM|PRMPC","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"56-1449504","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://providers.healthgram.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QDOJB","PrimaryPayerId":"90001","DisplayName":"HealthLink","Names":"Healthlink PPO|National Capital Preferred Provider Organization (NCPPO)","Aliases":"16697|4448|8508|90001","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.healthlink.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YDKBP","PrimaryPayerId":"HMG01","DisplayName":"Healthly Medical Group","Names":"","Aliases":"3735|9038|HMG01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://bluezoneshealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NEMUT","PrimaryPayerId":"94267","DisplayName":"HealthPartners","Names":"HealthPartners (MN)|HealthPartners (Minnesota)|HealthPartners (WI)|HealthPartners (Wisconsin)","Aliases":"10484|1525|3411|55764|94267|CX009|HLPTMN|SX009|SX009MA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"ONE_CLICK","EligibilityInquiryEnrollmentTimeframe":"WEEKS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"MN|WI","Programs":"COMMERCIAL|MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.healthpartners.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OBLZU","PrimaryPayerId":"44547","DisplayName":"HealthPartners","Names":"","Aliases":"44547","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IL|IA|MD|MN|MO|NJ|ND|SD|WI|DC","Programs":"","PtanRequired":"false","ParentPayerGroupId":"UCVTA","ParentPayerGroupName":"HealthPartners Group","WebsiteUrl":"https://www.healthpartners.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KERUM","PrimaryPayerId":"59143","DisplayName":"HealthPlan Services","Names":"Harrington Health|Wipro","Aliases":"4656|59143|6172","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"41-1982309","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.hpsclaimservices.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YVBPK","PrimaryPayerId":"HLTPM","DisplayName":"HealthPlus Michigan","Names":"HAP|Health Alliance Plan|Henry Ford Health","Aliases":"10309|HLTPM","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"MI","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"POSXG","PrimaryPayerId":"40026","DisplayName":"HealthSCOPE Benefits","Names":"HealthSCOPE","Aliases":"10621|16698|35092|40026|4424|45321|6814|6994|71063|71084|8011|8413|9725|EQNUS|HFDVC|HLTSCP|ZWDBM","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://hsb.tpa.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DFAXL","PrimaryPayerId":"J1481","DisplayName":"HealthSmart","Names":"","Aliases":"J1481","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HAJMB","PrimaryPayerId":"37283","DisplayName":"HealthSmart","Names":"HealthSmart (American Administrative Group)|Interplan Health Group","Aliases":"2722|37283|37283MA|3926|HSMRT","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.healthsmart.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KNFNY","PrimaryPayerId":"34167","DisplayName":"HealthSmart","Names":"Emerald Health Network|Emerald Health Network Incorporated|Health Services Preferred (HSP) by Emerald Health","Aliases":"16755|34167|6664|6768","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.healthsmart.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ORYEX","PrimaryPayerId":"34145","DisplayName":"HealthSmart","Names":"Klais and Company","Aliases":"34145|5422|6555","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SZIVA","PrimaryPayerId":"59231","DisplayName":"HealthSmart","Names":"Medcom","Aliases":"3271|59231","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.healthsmart.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZYOXK","PrimaryPayerId":"93092","DisplayName":"HealthSmart","Names":"HealthSmart Network Solutions|U.S. Benefits|US Benefits","Aliases":"2241|4970|93092","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.healthsmart.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TJYFB","PrimaryPayerId":"75237","DisplayName":"HealthSmart Accel","Names":"","Aliases":"5280|75237|9584","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.healthsmart.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZHUHM","PrimaryPayerId":"HSBS","DisplayName":"HealthSmart Benefit Solutions","Names":"HealthSmart C-8 Program|JSL Administrators|Pittman and Associates|Wells Fargo TPA","Aliases":"10003|10408|11079|11169|37224|37272|87815|HSBES|HSBS|IKBIE","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"TN","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.healthsmart.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ANYAY","PrimaryPayerId":"HSM01","DisplayName":"HealthSmart MSO","Names":"Angeles IPA|Asian Community Medical Group Incorporated|Associated Dignity Medical Group Professional Corporation|Associated Physicians Medical Group Incorporated|California Pacific Physicians Medical Group Incorporated|HMMSO|HealthSmart Management Services Organization|HealthSmart Management Services Organization Incorporated|Healthy New Life Medical Corporation|Korean American Medical Group|New Life Medical Group Incorporated|Noble Mid-Orange County (HealthSmart)|Orange County Advantage Medical Group|Regent Medical Group Incorporated (Regent Family Practice of Glendale)|Saigon Medical Group Incorporated|Southland Advantage Medical Group Incorporated|St. Peter Medical Group Incorporated","Aliases":"3747|7243|8679|A0067|AMM24|HSM01|OWGEG","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://healthsmartmso.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EVWUJ","PrimaryPayerId":"73140","DisplayName":"HealthSmart Oklahoma City","Names":"HealthSmart OKC","Aliases":"73140","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"OK","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.healthsmart.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LTJDO","PrimaryPayerId":"75250","DisplayName":"HealthSmart Preferred Care Inc.","Names":"HealthSmart Preferred Care Incorporated","Aliases":"1517|2724|75250|HSPC1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.healthsmart.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BFJPE","PrimaryPayerId":"61127","DisplayName":"HealthSource Kentucky","Names":"","Aliases":"61127","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WVIUD","PrimaryPayerId":"HSMSO","DisplayName":"HealthSource MSO","Names":"HealthSource Management Services Organization","Aliases":"3099|8722|HSMSO","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.healthsourcemso.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZMQUD","PrimaryPayerId":"31141","DisplayName":"HealthSource Ohio","Names":"","Aliases":"31141","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KLVLG","PrimaryPayerId":"62129","DisplayName":"HealthSource Tennessee","Names":"","Aliases":"62129","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RNDQB","PrimaryPayerId":"HLTSPN","DisplayName":"HealthSpan Integrated Care","Names":"","Aliases":"HLTSPN","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"MPMSM","ParentPayerGroupName":"HealthSpan Partners Group","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QRPMU","PrimaryPayerId":"63092","DisplayName":"HealthSpring","Names":"Bravo Health|HCSC|HealthSpring (Bravo Health Elder Health)|HealthSpring HMO Medicare Choice","Aliases":"101008|10399|10552|1556|1978|2795|3839|4742|52192|52192MA|5694|63092|63092MA|ANDPM|BRAVO|ELDER|ELDRHL|HSPRNG","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"AL|DE|FL|IL|MD|MN|NJ|PA|TN|TX|WA","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"DKCAG","ParentPayerGroupName":"Health Care Service Corporation","WebsiteUrl":"https://www.healthspring.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FSXSQ","PrimaryPayerId":"HESUN","DisplayName":"HealthSun Health Plans","Names":"HealthSun Health Plan","Aliases":"2105|6671|HESUN","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"FL","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"VJLBL","ParentPayerGroupName":"Anthem","WebsiteUrl":"https://provider.healthsun.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XMPVQ","PrimaryPayerId":"88250","DisplayName":"HealthTeam Advantage","Names":"Care N’ Care Insurance Company of North Carolina|Cone Health","Aliases":"1023|11239|7849|88250","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NC","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://healthteamadvantage.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VULTC","PrimaryPayerId":"88350","DisplayName":"HealthTeam Advantage HMO C-SNP, Diabetes & Heart Care Plan","Names":"Care N’ Care Insurance Company|HealthTeam Management Diabetes and Heart Care Plan|Healthteam Advantage HMO Diabetes and Heart Plan","Aliases":"4010|8735|88350","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://healthteamadvantage.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EKHCN","PrimaryPayerId":"58213","DisplayName":"Healthways WholeHealth Networks","Names":"Tivity Health","Aliases":"00100|4740|58213","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://wholehealthlivinghub.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PYEDE","PrimaryPayerId":"98654","DisplayName":"HealthWorx","Names":"","Aliases":"98654","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CFBAO","PrimaryPayerId":"551","DisplayName":"Healthy Blue Dual Advantage of Louisiana","Names":"Community Care Health Plan of Louisiana, Inc.|Healthy Blue Dual Advantage","Aliases":"00551|00552|14377|14504|4021|551|8750|HBDALA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"LA","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://provider.healthybluela.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KUNZB","PrimaryPayerId":"00047","DisplayName":"Healthy Blue Kansas","Names":"Community Care Health Plan of Kansas, Inc.|Elevance Health|KanCare","Aliases":"00047|15549|3224|8514","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"KS","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"VJLBL","ParentPayerGroupName":"Anthem","WebsiteUrl":"https://www.healthybluekansas.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SMCMI","PrimaryPayerId":"661","DisplayName":"Healthy Blue Louisiana","Names":"Community Care Health Plan of Louisiana","Aliases":"00661|58532|661|7562|7760|AMGRLA|HBLUE","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"LA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.myhealthybluela.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QJYHZ","PrimaryPayerId":"541","DisplayName":"Healthy Blue Missouri","Names":"Missouri Care","Aliases":"00541|10702|5019|541|8867|HBLUMO|MOSCA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"MO","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.healthybluemo.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HSDIG","PrimaryPayerId":"HBLUNE","DisplayName":"Healthy Blue Nebraska","Names":"","Aliases":"00544|14331|8870|HBLUNE","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AUKMC","PrimaryPayerId":"00602","DisplayName":"Healthy Blue North Carolina","Names":"Healthy Blue Care Together|Healthy Blue of North Carolina|HealthyBlue Care Together","Aliases":"00602|00602MA|14422|5022|5086|602|9133|HBLUNC","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"NC","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.healthybluenc.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PHWNP","PrimaryPayerId":"00403","DisplayName":"Healthy Blue South Carolina","Names":"BlueChoice HealthPlan Medicaid|BlueCross BlueShield of South Carolina","Aliases":"00403|10504|14463|2121|57028|5953|A0403|SB885|SC403|Z1248","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"OVER_4_WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"SC","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.southcarolinablues.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DSXPO","PrimaryPayerId":"22251","DisplayName":"Healthy Community Network","Names":"Healthy York Network|WellSpan Health","Aliases":"22251|6883|7661","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"PA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.wellspan.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JRGDA","PrimaryPayerId":"99914","DisplayName":"Healthy Missisippi","Names":"","Aliases":"3482|9012|99914","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LTAXO","PrimaryPayerId":"AMM22","DisplayName":"Healthy Partners Sacramento County","Names":"","Aliases":"AMM22","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JWOFB","PrimaryPayerId":"HSF01","DisplayName":"Healthy San Francisco","Names":"","Aliases":"HSF01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://healthysanfrancisco.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FVJAP","PrimaryPayerId":"45336","DisplayName":"HealthyCT Incorporated","Names":"","Aliases":"45336","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MELXK","PrimaryPayerId":"J1677","DisplayName":"Heartland Express","Names":"","Aliases":"J1677","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AVWIW","PrimaryPayerId":"33600","DisplayName":"Helmsman Management Services","Names":"Helmsman TPA|Liberty Mutual|Liberty Mutual Middle Markets|Liberty Northwest|Liberty Wausau","Aliases":"33600","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.helmsmantpa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KWJDW","PrimaryPayerId":"KWJDW","DisplayName":"Helmsman Management Services – Workers Compensation","Names":"Helmsman Management Services (WC)","Aliases":"KWJDW","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.helmsmantpa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SLDBK","PrimaryPayerId":"J1654","DisplayName":"Hemet Unified School District (California)","Names":"","Aliases":"J1654","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PNKDM","PrimaryPayerId":"60058","DisplayName":"Hennepin Health","Names":" Metropolitan Health Plan (MHP)","Aliases":"10135|1566|16751|2787|60058|6005801|MHP01|MHPRT|PGUDQ|VQYZD","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"MN","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.hennepinhealth.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GUGKJ","PrimaryPayerId":"HRYA1","DisplayName":"Heraya Health","Names":"","Aliases":"3716|HRYA1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.herayahealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UIWNX","PrimaryPayerId":"CHP01","DisplayName":"Heraya Health","Names":"Complementary Healthcare Plan|The CHP Group","Aliases":"6200|CHP01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.herayahealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KTCVM","PrimaryPayerId":"KTCVM","DisplayName":"Hereford Insurance Company NY – Workers Compensation","Names":"Hereford Insurance Company NY","Aliases":"KTCVM","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NY","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KJKPK","PrimaryPayerId":"IHS43","DisplayName":"Heritage - Bureau Of Prisons (BOP)","Names":"Heritage Health Solutions","Aliases":"IHS43","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://heritagehealthsolutions.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XMNPB","PrimaryPayerId":"59230","DisplayName":"Heritage Consultants","Names":"Heritage Benefits","Aliases":"2874|59230|8512","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"FL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.heritagebenefits.net","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NDRFE","PrimaryPayerId":"J1069","DisplayName":"Heritage Group","Names":"","Aliases":"J1069","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IRTAB","PrimaryPayerId":"HER01","DisplayName":"Heritage Independent Practice Association","Names":"","Aliases":"HER01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FDBME","PrimaryPayerId":"30891","DisplayName":"Heritage Sierra Medical Group","Names":"","Aliases":"30891|7138","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.heritagesmg.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OMERZ","PrimaryPayerId":"VVMG1","DisplayName":"Heritage Victor Valley Medical Group","Names":"","Aliases":"1048|30862|7274|VVMG1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.hvvmg.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GTASK","PrimaryPayerId":"96462","DisplayName":"Heritage Vision Plans","Names":"","Aliases":"96462|9770","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QEGVC","PrimaryPayerId":"HERO1","DisplayName":"Hero Health Plans","Names":"","Aliases":"HERO1","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://herohealthplans.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QHSTC","PrimaryPayerId":"10795","DisplayName":"Hershey Healthsmile - Dental","Names":"","Aliases":"10795","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KDLEN","PrimaryPayerId":"95393","DisplayName":"High Desert Medical Group","Names":"","Aliases":"3290|95393|9670","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KPHAS","PrimaryPayerId":"HDMDG","DisplayName":"High Desert Medical Group (Regal)","Names":"","Aliases":"HDMDG","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GULHJ","PrimaryPayerId":"R3467","DisplayName":"High Desert PACE","Names":"High Desert Program of All-Inclusive Care for the Elderly","Aliases":"3717|9031|HDP01|R3467","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"CA","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://highdesertpace.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PJMDT","PrimaryPayerId":"246","DisplayName":"Highmark Blue Cross Blue Shield (NY) - Medicaid and CHP","Names":"BCBS Western New York Medicaid/CHP|Highmark Blue Cross Blue Shield (New York) - Medicaid and CHP","Aliases":"00246|1169|246|2516|3647|44911|99246|BCBSCAIDWNY|BWNYMC|QMUHI","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"NY","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.highmark.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SRICT","PrimaryPayerId":"55204","DisplayName":"Highmark Blue Cross Blue Shield (Western and Northeastern NY)","Names":"HealthNow Commercial|HealthNow New York Incorporated|Highmark Blue Cross Blue Shield (New York) - Commercial and Medicare Advantage|Highmark Blue Cross Blue Shield (Western and Northeastern NY) - Medicare Advantage|Highmark Blue Cross Blue Shield of Western New York|Highmark Blue Shield (New York) - Commercial and Medicare Advantage|Highmark Blue Shield of Northeastern New York|Highmark Western and Northeastern New York","Aliases":"00301|00800|00801|100948|100954|10498|10499|10500|12B39|1943|3536|4409|55204|7485|CBNYW|DUTFW|HLTNOW|HTLST|ILQGT|LWTJN|N1BLS|N5BLS|NYBCBS|NYBCNE|SB800|SB801|SB801MA|WNYBS|Z1093","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"ONE_CLICK","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"ONE_CLICK","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"NY","Programs":"COMMERCIAL|MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.highmark.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ILQUL","PrimaryPayerId":"00570","DisplayName":"Highmark Blue Cross Blue Shield of Delaware","Names":"Highmark BCBS Delaware|Highmark Blue Cross Blue Shield Delaware|Highmark Blue Cross Blue Shield of Delaware - Medicare Advantage","Aliases":"00070|00570|100026|10831|12B34|12B76|1546|53287|570|7456|BCDEL|DEBCBS|DEBLS|GHPHHO|LTKAB|SB570|SB570MA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"DAYS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"true","ClaimStatusInquiryEnrollmentType":"ONE_CLICK","ClaimStatusInquiryEnrollmentTimeframe":"DAYS","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"ONE_CLICK","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"ONE_CLICK","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"DE","Programs":"COMMERCIAL|MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"QOSPQ","ParentPayerGroupName":"Highmark Group","WebsiteUrl":"https://www.highmark.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QWJLP","PrimaryPayerId":"54828","DisplayName":"Highmark Blue Cross Blue Shield of West Virginia","Names":"Highmark Blue Cross Blue Shield West Virginia|Highmark Blue Cross Blue Shield of West Virginia - Medicare Advantage|Mountain State Blue Cross Blue Shield West Virginia","Aliases":"100947|10462|11024|12B28|3589|54828|7131|7474|7680|MTNST|PVNMB|SB941|SB941MA|TDBAF|WVBCBS|WVBLS","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"ONE_CLICK","EligibilityInquiryEnrollmentTimeframe":"DAYS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"ONE_CLICK","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"ONE_CLICK","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"WV","Programs":"","PtanRequired":"false","ParentPayerGroupId":"QOSPQ","ParentPayerGroupName":"Highmark Group","WebsiteUrl":"https://www.highmark.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DNGRD","PrimaryPayerId":"47181","DisplayName":"Highmark Delaware Health Options","Names":"BCBS Delaware Highmark Health Options Incorporated|Blue Cross Blue Shield Delaware Highmark Health Options Incorporated|Highmark BCBSD Health Options, Inc.|Highmark Blue Cross Blue Shield Delaware Health Options Incorporated|Highmark Delaware Health Options - Medicaid","Aliases":"47181|7148|7693","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"47-1817274","CoverageTypes":"dental|medical","OperatingStates":"DE","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.highmark.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EXFZP","PrimaryPayerId":"47183","DisplayName":"Highmark Health Options Dual Plan","Names":"Highmark Health Options D-SNP Medicare","Aliases":"3298|47183|8553","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"45-2763165|47-1817274","CoverageTypes":"medical","OperatingStates":"DE|WV","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"QOSPQ","ParentPayerGroupName":"Highmark Group","WebsiteUrl":"https://providers.highmark.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QWLVX","PrimaryPayerId":"88831","DisplayName":"Highmark Health Options Duals West Virginia","Names":"Gateway Health Plan","Aliases":"3849|88831|9076","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"PA","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.highmark.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PESJI","PrimaryPayerId":"RP118","DisplayName":"Highmark Health Options West Virginia","Names":"HHO WV|Highmark Health Options|Highmark Inc.","Aliases":"16709|1881|3957|RP118","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"QOSPQ","ParentPayerGroupName":"Highmark Group","WebsiteUrl":"https://www.highmark.com/health-options-wv","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GUFCO","PrimaryPayerId":"54771","DisplayName":"Highmark of Pennsylvania","Names":"First Priority Life Insurance Company (FPLIC) Out-of-Area Claims|Highmark Blue Cross Blue Shield|Highmark Blue Cross Blue Shield Pennsylvania|Highmark Blue Cross Blue Shield Pennsylvania Professional|Highmark Blue Shield|Highmark of Pennsylvania - Medicare Advantage|Keystone Health Plan West - Community Blue HMO","Aliases":"100338|10046|100900|10264|10524|2413|35145|54771|95462|AJOXG|PABCBS|PABLS|SB865|SB865MA|SZXAY","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"ONE_CLICK","EligibilityInquiryEnrollmentTimeframe":"DAYS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"true","ClaimStatusInquiryEnrollmentType":"ONE_CLICK","ClaimStatusInquiryEnrollmentTimeframe":"DAYS","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"ONE_CLICK","ProfessionalClaimEnrollmentTimeframe":"DAYS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"PA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"QOSPQ","ParentPayerGroupName":"Highmark Group","WebsiteUrl":"https://www.highmark.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FJZEL","PrimaryPayerId":"54771I","DisplayName":"Highmark Pennsylvania Central Region","Names":"","Aliases":"3587|54771C|54771I","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"ONE_CLICK","EligibilityInquiryEnrollmentTimeframe":"DAYS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"true","ClaimStatusInquiryEnrollmentType":"ONE_CLICK","ClaimStatusInquiryEnrollmentTimeframe":"DAYS","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"ONE_CLICK","InstitutionalClaimEnrollmentTimeframe":"DAYS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"PA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://providers.highmark.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KZERD","PrimaryPayerId":"54771S","DisplayName":"Highmark Pennsylvania Southeastern Region","Names":"","Aliases":"3619|54771S","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"ONE_CLICK","EligibilityInquiryEnrollmentTimeframe":"DAYS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"true","ClaimStatusInquiryEnrollmentType":"ONE_CLICK","ClaimStatusInquiryEnrollmentTimeframe":"DAYS","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"ONE_CLICK","InstitutionalClaimEnrollmentTimeframe":"DAYS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"PA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://providers.highmark.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TVXQH","PrimaryPayerId":"12B81","DisplayName":"Highmark Pennsylvania Western Region","Names":"Highmark Blue Cross Blue Shield Pennsylvania Western|Highmark Blue Cross Blue Shield of Western Pennsylvania","Aliases":"12B60|12B81|2534|54771W","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"ONE_CLICK","EligibilityInquiryEnrollmentTimeframe":"DAYS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"true","ClaimStatusInquiryEnrollmentType":"ONE_CLICK","ClaimStatusInquiryEnrollmentTimeframe":"DAYS","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"PA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://providers.highmark.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HOXDH","PrimaryPayerId":"15460","DisplayName":"Highmark Senior Health Company","Names":"Freedom Blue Medicare Advantage|Freedom Blue Medicare Advantage Institutional|Freedom Blue Medicare Advantage Professional|Senior Health Company Professional","Aliases":"15460|15460I|15460MA|15460P|7130|7679","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"ONE_CLICK","EligibilityInquiryEnrollmentTimeframe":"DAYS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"true","ClaimStatusInquiryEnrollmentType":"ONE_CLICK","ClaimStatusInquiryEnrollmentTimeframe":"DAYS","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"ONE_CLICK","ProfessionalClaimEnrollmentTimeframe":"DAYS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"ONE_CLICK","InstitutionalClaimEnrollmentTimeframe":"DAYS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"PA","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"QOSPQ","ParentPayerGroupName":"Highmark Group","WebsiteUrl":"https://medicare.highmark.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DYMRU","PrimaryPayerId":"15459","DisplayName":"Highmark Senior Solutions","Names":"Highmark Senior Solutions Company West Virginia","Aliases":"15459","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"ONE_CLICK","EligibilityInquiryEnrollmentTimeframe":"DAYS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"true","ClaimStatusInquiryEnrollmentType":"ONE_CLICK","ClaimStatusInquiryEnrollmentTimeframe":"DAYS","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"ONE_CLICK","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"ONE_CLICK","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"WV","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.highmark.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CYZUD","PrimaryPayerId":"96938","DisplayName":"Highmark Wholecare","Names":"Gateway Health Plan Dental|Scion Gateway Health Plan|Skygen USA","Aliases":"96938","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"OVER_4_WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"PA","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.highmark.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IKLBE","PrimaryPayerId":"10629T","DisplayName":"Highmark Wholecare","Names":"Gateway Health Plan Medicaid Pennsylvania","Aliases":"10629T|25169|4569|8472|GATHP|GHPMCD","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"QOSPQ","ParentPayerGroupName":"Highmark Group","WebsiteUrl":"https://providers.highmark.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YDYLY","PrimaryPayerId":"60550","DisplayName":"Highmark Wholecare Medicare Assured","Names":"Gateway Health Plan Medicare Assured","Aliases":"2298|2912|60550|60550MA|GHPMCR","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"PA","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://providers.highmark.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GJAIO","PrimaryPayerId":"HLPAE","DisplayName":"Hill Physicians Aetna Preferred Provider Organization","Names":"","Aliases":"9241|HLPAE","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.hillphysicians.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WZFRI","PrimaryPayerId":"HLPBC","DisplayName":"Hill Physicians Blue Cross PPO","Names":"","Aliases":"8209|HLPBC","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.hillphysicians.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WQNDQ","PrimaryPayerId":"HLPBS","DisplayName":"Hill Physicians Blue Shield PPO","Names":"Hill Physicians Blue Shield Preferred Provider Organization","Aliases":"7846|HLPBS","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.hillphysicians.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SCHBK","PrimaryPayerId":"HLPHN","DisplayName":"Hill Physicians Health Network Preferred Provider Organization","Names":"Hill Physicians Health Net PPO","Aliases":"7824|HLPHN","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.hillphysicians.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XSFLO","PrimaryPayerId":"00046","DisplayName":"Hill Physicians Medical Group","Names":"","Aliases":"00046|1564|2846|HIL01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.hillphysicians.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TGJPC","PrimaryPayerId":"HLPCG","DisplayName":"Hill Physicians Medical Group Cigna PPO","Names":"Hill Physicians Medical Group Cigna Preferred Provider Organization","Aliases":"8781|HLPCG","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.hillphysicians.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TIAGY","PrimaryPayerId":"HLPUH","DisplayName":"Hill Physicians UnitedHealthcare PPO","Names":"Hill Physicians UnitedHealthcare Preferred Provider Organization","Aliases":"7825|HLPUH","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.hillphysicians.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BPQZQ","PrimaryPayerId":"HPU22","DisplayName":"HILL UHC PPO","Names":"","Aliases":"8206|HPU22","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.hillphysicians.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JBIRS","PrimaryPayerId":"80520","DisplayName":"Hilliard Corporation (UCS)","Names":"","Aliases":"80520","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XSNGQ","PrimaryPayerId":"59141","DisplayName":"Hillsborough County","Names":"Administrative Services Incorporated","Aliases":"20405|4295|59141|9565","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"FL","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.zenith-american.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PTCZO","PrimaryPayerId":"J1959","DisplayName":"Hillshire Brands","Names":"","Aliases":"J1959","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NDLAI","PrimaryPayerId":"J1833","DisplayName":"Hilmar Cheese Company","Names":"","Aliases":"J1833","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SDWVE","PrimaryPayerId":"HINGE","DisplayName":"Hinge Health","Names":"","Aliases":"3841|9074|HINGE","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.hingehealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XODMD","PrimaryPayerId":"MAHIN","DisplayName":"Hinsdale Medicare Advantage","Names":"","Aliases":"MAHIN","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PCKTJ","PrimaryPayerId":"55247","DisplayName":"HIP / EmblemHealth Insurance Company","Names":"EmblemHealth|HIP Health Insurance Plan of Greater New York|HIPIC","Aliases":"10406|1896|55247|55247MA|8599|E5247|EMBLEMHEALTH|HIPNY|XCBVF","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"NY","Programs":"","PtanRequired":"false","ParentPayerGroupId":"RSZCR","ParentPayerGroupName":"EmblemHealth Group","WebsiteUrl":"https://www.emblemhealth.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RVMTE","PrimaryPayerId":"25531","DisplayName":"HIP / EmblemHealth Insurance Company (GHI HMO)","Names":"Group Health Incorporated Health Maintenance Organization","Aliases":"1578|1784|25531","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.emblemhealth.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XSQON","PrimaryPayerId":"22264","DisplayName":"HIP / EmblemHealth Insurance Company (Vytra HMO)","Names":"Vytra HealthCare|Vytra Healthcare","Aliases":"22264|6562|8440","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.emblemhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XWDEM","PrimaryPayerId":"HIP32","DisplayName":"HIPnation","Names":"","Aliases":"HIP32","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://hipnation.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VFGBE","PrimaryPayerId":"HPFFS","DisplayName":"Hispanic Physicians Independent Practice Association - Fee For Service","Names":"","Aliases":"7704|HPFFS","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KBRJX","PrimaryPayerId":"HPIPA","DisplayName":"Hispanic Physicians IPA","Names":"Hispanic Physicians Independent Practice Association - Encounters Only","Aliases":"6272|HPIPA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL|MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.hpipa.net","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HSUPW","PrimaryPayerId":"75318","DisplayName":"HMC HealthWorks","Names":"HMC HealthWorks - Sub Division of Uprise Health|Health Management Concepts","Aliases":"7185|75318|8624","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://uprisehealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ASTRV","PrimaryPayerId":"COHMO","DisplayName":"HMO Colorado","Names":"","Aliases":"COHMO","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WKDLP","PrimaryPayerId":"100937","DisplayName":"HMSA","Names":"BC HAWAII|BCBS Hawaii|BCBSHI|Blue Cross Blue Shield of Hawaii|HMSA - Medicare Advantage|Hawaii Medical Service Association","Aliases":"100937|10530|12B62|1518|1555|HIBLS|HMSA1|SB971","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"OVER_4_WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"OVER_4_WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"99-0040115","CoverageTypes":"dental|medical|vision","OperatingStates":"CA|HI|NV","Programs":"COMMERCIAL|MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://hmsa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MSTRH","PrimaryPayerId":"80027","DisplayName":"HMSA Akamai Advantage","Names":"","Aliases":"6642|6743|80027","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"HI","Programs":"MEDICARE_ADVANTAGE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://hmsa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VFVQL","PrimaryPayerId":"J1612","DisplayName":"HMSHost","Names":"","Aliases":"J1612","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KFBDL","PrimaryPayerId":"65063","DisplayName":"HN1 Therapy Network","Names":"Health Network One","Aliases":"2140|3444|65063|65063MA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://embossspecialty.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GTXAF","PrimaryPayerId":"HPPZZ","DisplayName":"Hoag Clinic (Hoag Physician Partners)","Names":"","Aliases":"00258|3051|8401|HPPZZ","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"33-0676831","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.hoag.org","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KGDLJ","PrimaryPayerId":"HLSTA","DisplayName":"Holista","Names":"Novant Health Direct to Employers Episodes","Aliases":"2072|8216|HLSTA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://holistahealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FZRYS","PrimaryPayerId":"J1070","DisplayName":"Holly Farms Corporation","Names":"","Aliases":"J1070","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VAHRJ","PrimaryPayerId":"38828","DisplayName":"Hollywood Presbyterian Medical Center - Alta Med Clinics (HPMC - AMC)","Names":"","Aliases":"38828|5010|8856","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DNWVH","PrimaryPayerId":"MPM29","DisplayName":"Hollywood Presbyterian Medical Center - Global Care Medical","Names":"","Aliases":"2032|8169|MPM29","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medpointmanagement.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CGKCG","PrimaryPayerId":"MPM49","DisplayName":"Hollywood Presbyterian San Judas","Names":"MedPOINT Management","Aliases":"3441|8989|MPM49","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medpointmanagement.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EQFMP","PrimaryPayerId":"VAICE","DisplayName":"Homeland Security (Deportation)","Names":"Department of Homeland Security Immigration Enforcement|Immigration and Naturalization Health Services (Immigration Health Services)|Veterans Affairs Field Service Commission Immigration and Customs Enforcement Health Service Corps","Aliases":"4790|9581|VAICE","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ice.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NLKWK","PrimaryPayerId":"30750","DisplayName":"Homelink","Names":"VGM HomeLink","Aliases":"30750|50701|6767|8002|9715|ZLTCJ","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.vgmhomelink.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZXCZS","PrimaryPayerId":"55744","DisplayName":"Homelink HealthPartners","Names":"HomeLink HealthPartners|VGM HOMELINK","Aliases":"55744","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.vgmhomelink.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SNPDS","PrimaryPayerId":"40585","DisplayName":"Homestead (INDECS)","Names":"Homestead Smart Health Plans|INDECS Corporation","Aliases":"2946|3896|40585","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://homesteadplans.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CBYBJ","PrimaryPayerId":"88023","DisplayName":"Hometown Health","Names":"Hometown Health Plan Nevada|Renown Health Plan","Aliases":"2839|2960|88023|88023MA|HMETH|HOMTWN","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NV","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.hometownhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZFDYF","PrimaryPayerId":"58379","DisplayName":"Hometown Health Plan MA HMO","Names":"Meritain|P3 Health Partners Nevada","Aliases":"00094|2020|58379|8155","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NV","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://p3hp.org","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PXLSY","PrimaryPayerId":"88537","DisplayName":"Hometown Health Providers","Names":"","Aliases":"10335|88537","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NV","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.hometownhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NHFXI","PrimaryPayerId":"82234","DisplayName":"Homewood Resorts (UCS)","Names":"Homewood Resorts (United Community Services)","Aliases":"82234","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://skihomewood.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PGEPN","PrimaryPayerId":"R3499","DisplayName":"Hope PACE","Names":"Hope Select Care PACE","Aliases":"1672|2126|R3499","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://hopepace.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NRHDN","PrimaryPayerId":"22099","DisplayName":"Horizon Blue Cross and Blue Shield of New Jersey","Names":"BCBS New Jersey|Horizon BCBSNJ|Horizon Blue Cross Blue Shield New Jersey|Horizon Blue Cross Blue Shield of New Jersey|Horizon Blue Cross and Blue Shield of New Jersey - Medicare Advantage","Aliases":"100046|10041|22099|2414|5526|BCNJC|CEHPA|NJBCBS","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"DE|FL|NJ|NY|PA|SC","Programs":"COMMERCIAL|MEDICARE","PtanRequired":"false","ParentPayerGroupId":"NKWCZ","ParentPayerGroupName":"Blue Cross Blue Shield of New Jersey","WebsiteUrl":"https://www.horizonblue.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NSIEN","PrimaryPayerId":"22326","DisplayName":"Horizon New Jersey Health","Names":"Horizon NJ Health|Mercy Health Plan of New Jersey","Aliases":"10337|1709|22326|6534|HZMRCY","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NJ","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.horizonnjhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HGRAZ","PrimaryPayerId":"HVMG1","DisplayName":"Horizon Valley Medical Group","Names":"","Aliases":"6430|HVMG1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MCHAW","PrimaryPayerId":"13978","DisplayName":"Hortica Florist Mutual Insurance","Names":"Sentry Insurance Group","Aliases":"13978","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.hortica.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ANOKM","PrimaryPayerId":"37137","DisplayName":"Hospital Sisters Health System Medical Group Independent Practice Association","Names":"HSHS Medical Group IPA","Aliases":"37137|4747","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.hshs.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PWETJ","PrimaryPayerId":"J1071","DisplayName":"Household Merch National Nursing Institute","Names":"Household Merchandising NNI","Aliases":"J1071","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ANSAK","PrimaryPayerId":"A0107","DisplayName":"Housing Authority El Paso (Texas)","Names":"Housing Opportunity Management Enterprises","Aliases":"A0107","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TX","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ephome.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HIULP","PrimaryPayerId":"J1020","DisplayName":"Houston Hunters Patrol Incorporated","Names":"","Aliases":"J1020","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XKQHS","PrimaryPayerId":"MSC88","DisplayName":"Houston Physicians IPA","Names":"","Aliases":"MSC88","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TX","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://houstonphysiciansipa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SBEZB","PrimaryPayerId":"J1888","DisplayName":"Howard County Government (Maryland)","Names":"","Aliases":"J1888","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FPIMO","PrimaryPayerId":"22521","DisplayName":"HP Administrative Services LLC","Names":"","Aliases":"10619|22521","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BMFUE","PrimaryPayerId":"82802","DisplayName":"HPC","Names":"Health Payer Consortium","Aliases":"82802","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.healthpayerconsortium.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KHZPH","PrimaryPayerId":"IHS22","DisplayName":"HPI Vanderbilt","Names":"HealthPartners Insurance Vanderbilt|Innovative Healthware Services","Aliases":"1454|8068|IHS22","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www2.claimsbridge.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RIRDN","PrimaryPayerId":"J1072","DisplayName":"Hughes Tool Company","Names":"","Aliases":"J1072","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GLVZD","PrimaryPayerId":"1366622490","DisplayName":"Human Care - Jns","Names":"Human Care - Jns","Aliases":"1366622490","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UYORK","PrimaryPayerId":"61101","DisplayName":"Humana","Names":"Arcadian Management Services|CareSource Kentucky|CareSource Kentucky Marketplace|CareSource Medicaid Kentucky|CareSource Medicare Advantage Kentucky|Careplus health plans|Cariten Healthcare|Cariten Senior Health|Eagle Creek Medical Plaza|Emphesys|Emphesys Insurance Company|Health Value Management|Humana Careington|Humana Choice|Humana Dental|Humana Healthy Horizons in Louisiana|Humana of Florida|Lincoln National|Managed Care Indemnity|Managed Prescriptions Services|Medbenefixx Incorporated|Medical Plan of Kansas City|PCA Star Medicaid|Prime Benefits System|Randmark Incorporated|Wisconsin Employers Group","Aliases":"00041|10100|10353|11213|14325|2449|4544|61101|61101MA|61108|62073|65031|65031MA|73288|HUMANA|XYMXQ|Z96304","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"39-1263473|61-1013183","CoverageTypes":"dental|medical|vision","OperatingStates":"NATIONAL","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"WCDVL","ParentPayerGroupName":"Humana Group","WebsiteUrl":"https://www.humana.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BNFYV","PrimaryPayerId":"6629","DisplayName":"Humana (KV) - JVHL","Names":"Humana (KV) - Joint Venture Hospital Laboratory","Aliases":"6629|6730","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.jvhl.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HPAJD","PrimaryPayerId":"65065","DisplayName":"Humana Dental","Names":"","Aliases":"65065","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"WCDVL","ParentPayerGroupName":"Humana Group","WebsiteUrl":"https://www.humana.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FKSDB","PrimaryPayerId":"61102","DisplayName":"Humana Encounters","Names":"Humana Healthy Horizons in Louisiana","Aliases":"3890|61102|9589","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NATIONAL","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"WCDVL","ParentPayerGroupName":"Humana Group","WebsiteUrl":"https://provider.humana.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EZEHQ","PrimaryPayerId":"95348","DisplayName":"Humana Health Plan Ohio","Names":"Choicecare of Ohio HMO","Aliases":"2440|8929|95348","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NZFYX","PrimaryPayerId":"61103","DisplayName":"Humana Healthy Horizons in Ohio","Names":"Humana - Healthy Horizons (Ohio Medicaid)|Humana Ohio Medicaid Vision|Medicaid Ohio - Humana DentaQuest|Medicaid Ohio - Humana EyeMed","Aliases":"14384|61103|6110V|7073|9463|D021919|HUMOM|SKOH13|SKOH9|V021919","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"OH","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"WCDVL","ParentPayerGroupName":"Humana Group","WebsiteUrl":"https://provider.humana.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZQYMQ","PrimaryPayerId":"61115","DisplayName":"Humana Long-Term Care","Names":"Humana Long Term Care","Aliases":"1104|61115|9508","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NATIONAL","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://provider.humana.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GZMSV","PrimaryPayerId":"L0200","DisplayName":"Humana Puerto Rico","Names":"","Aliases":"L0200","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UOEAS","PrimaryPayerId":"HDNFC","DisplayName":"Humboldt IPA","Names":"California Care (Humboldt Del Norte)|General Hospital (Humboldt Del Norte)|Humboldt Del Norte Foundation IPA|Humboldt Independent Practice Association|Omni Healthcare (Humboldt Del Norte)","Aliases":"HDNFC","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://humboldtipa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SHUIO","PrimaryPayerId":"36393","DisplayName":"Humboldt Park Health Partners","Names":"Century PHO|CenturyPath|HPH Partners","Aliases":"36393|5607|6237","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.hphpartners.care","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"URBZJ","PrimaryPayerId":"54750","DisplayName":"Huron PACE","Names":"Huron Valley PACE","Aliases":"54750|7463|9634","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"MI","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.huronvalleypace.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XWNZS","PrimaryPayerId":"J1626","DisplayName":"Hutchinson Technology","Names":"","Aliases":"J1626","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GMSQW","PrimaryPayerId":"22175","DisplayName":"I.E. Shaffer & Co.","Names":"I E Shaffer (West Trenton New Jersey)","Aliases":"22175|3240|3993","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"http://www.ieshaffer.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YTGWD","PrimaryPayerId":"11329","DisplayName":"IBA","Names":"International Benefit Administration","Aliases":"11329|1165|12277|2512|INTADM","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"FL","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ibatpa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LBEDS","PrimaryPayerId":"44602","DisplayName":"IBEW Local No. 1 Health and Welfare Fund","Names":"International Brotherhood of Electrical Workers (IBEW) Local Number One Health and Welfare Fund|International Brotherhood of Electrical Workers Local No. 1 Health and Welfare (Mental Health)|International Brotherhood of Electrical Workers Local No. 1 Health and Welfare Fund","Aliases":"44602|5045|525120|8891|DX115|IBEW9","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"MO","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ibewnecaservicecenter.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YHUHF","PrimaryPayerId":"11695","DisplayName":"iCare","Names":"Humana|Independent Care Health Plan","Aliases":"11233|11695|1907|2285|ICARE|INDCH|Z1044|Z1044MA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"WI","Programs":"","PtanRequired":"false","ParentPayerGroupId":"WCDVL","ParentPayerGroupName":"Humana Group","WebsiteUrl":"https://www.icarehealthplan.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KMRPU","PrimaryPayerId":"26054","DisplayName":"iCare Health Options TPA","Names":"VSP Vision|iCare Health Options Third Party Administrator","Aliases":"26054|5299","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.myicarehealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MHLQB","PrimaryPayerId":"ICRCL","DisplayName":"iCircle Care","Names":"","Aliases":"1066|7192|ICRCL","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NY","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://icirclecny.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CZUTG","PrimaryPayerId":"33884","DisplayName":"iCircle Care of New York","Names":"","Aliases":"33884","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"NY","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://icirclecny.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OTEPQ","PrimaryPayerId":"27847","DisplayName":"ICW Group","Names":"ICW Group Insurance Companies|Insurance Company of the West","Aliases":"27847","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.icwgroup.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PDHIW","PrimaryPayerId":"IHP21","DisplayName":"IH Plans, Inc.","Names":"Tres Health","Aliases":"IHP21","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.tres.health","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ENGET","PrimaryPayerId":"A2352","DisplayName":"IHS Gateway Payer South","Names":"Indian Health Service Gateway Payer South","Aliases":"A2352|CB711","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XSJYL","PrimaryPayerId":"J1575","DisplayName":"Illinois Casualty","Names":"","Aliases":"J1575","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MGUCG","PrimaryPayerId":"57140","DisplayName":"Illinois Health Partners","Names":"Endeavor Health","Aliases":"57140","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IL","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.endeavorhealth.org","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HWFRU","PrimaryPayerId":"IPA99","DisplayName":"Illinois Physicians Alliance Independent Practice Association (IPA)","Names":"Illinois Physicians Alliance Independent Practice Association","Aliases":"1229|4531|IPA99","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.illinoisphysiciansalliance.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZDGFQ","PrimaryPayerId":"26119","DisplayName":"illumifin","Names":"American Insurance Administrators (AIA)|Combined Insurance Company|Combined Sterling|Companion Life Insurance Company|Forethought Life Insurance Company|Liberty Bankers Life Insurance Company|Shenandoah Life Insurance Company|Standard Life & Casualty Insurance Company|Thrivent Financial for Lutherans|Western Catholic Union","Aliases":"13279|26119|7722|8912|AIAMS|ZP4110","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NATIONAL","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.illumifin.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RSLHU","PrimaryPayerId":"89677","DisplayName":"ILWU - PMA Benefit Plans ","Names":"Harbour Benefit Holdings|Zenith American Solutions Inc: ILWU - PMA Benefit Plans","Aliases":" 59140|6076|89677|9236","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.zenith-american.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RNIOX","PrimaryPayerId":"64556","DisplayName":"IMA Incorporated","Names":"","Aliases":"2052|64556|8191","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZXHCL","PrimaryPayerId":"48143","DisplayName":"Imagine360","Names":" Group & Pension Administrators|GPA|Imagine360 Administrators|Imagine360, LLC","Aliases":"10174|2936|3757|48143|GPADM|GRPEN|LFQLE","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"JWKAL","ParentPayerGroupName":"IMAGINE 360 ADMINISTRATORS, LLC","WebsiteUrl":"https://www.imagine360.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SNPIA","PrimaryPayerId":"41600","DisplayName":"IMCare","Names":"Itasca Medical Care","Aliases":"16596|1942|3764|41600|IMCARE","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"MN","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.itascacountymn.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QVAFB","PrimaryPayerId":"IMP01","DisplayName":"Immanuel Pathways","Names":"","Aliases":"IMP01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://immanuel.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KHYHQ","PrimaryPayerId":"ZP8975","DisplayName":"Impact Health AMPS","Names":"","Aliases":"ZP8975","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GOFTH","PrimaryPayerId":"IH400","DisplayName":"Impact Health Sharing","Names":"Impact Health Share Inc.","Aliases":"4024|8753|IH400","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.impacthealthsharing.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DMIZC","PrimaryPayerId":"IHHMG","DisplayName":"Imperial Health Holdings Medical Group","Names":"IHHMG","Aliases":"1295|6560|IHHMG","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://imperialhealthholdings.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WVFVF","PrimaryPayerId":"IHP01","DisplayName":"Imperial Health Plan of California","Names":"Imperial Health Plan of California, Incorporated|Imperial Insurance Companies","Aliases":"4067|8811|H5496|IHP01|IHP01MA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://imperialhealthplan.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QJCZS","PrimaryPayerId":"IEXUT","DisplayName":"Imperial Health Plan of the Southwest - Utah Exchange","Names":"Imperial Insurance Companies Inc Exchange - Utah","Aliases":"1608|1732|IEXUT","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"UT","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://imperialhealthplan.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DBWTH","PrimaryPayerId":"IICTX","DisplayName":"Imperial Insurance Companies","Names":"IICTX|Imperial Insurance Company Texas","Aliases":"2073|7465|IICTX","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TX","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://imperialhealthplan.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PUMDX","PrimaryPayerId":"IEXNV","DisplayName":"Imperial Insurance Companies - Nevada Exchange","Names":"Imperial Health Nevada","Aliases":"3479|9009|IEXNV","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NV","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://imperialhealthplan.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JZXMD","PrimaryPayerId":"IEXAZ","DisplayName":"Imperial Insurance Companies Inc - Arizona Exchange","Names":"","Aliases":"3478|9008|IEXAZ","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"AZ","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://imperialhealthplan.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GFHUB","PrimaryPayerId":"IEXTX","DisplayName":"Imperial Insurance Companies Inc - Texas Exchange","Names":"","Aliases":"1657|1810|IEXTX","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TX","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://imperialhealthplan.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JGRDS","PrimaryPayerId":"IMSMS","DisplayName":"IMS","Names":"Insurance Management Services","Aliases":"15688|4445|8918|IMSMS","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TX","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.imstpa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BJHNE","PrimaryPayerId":"L0929","DisplayName":"Indecs, a Homestead Company","Names":"Homestead Smart Health Plans","Aliases":"1264|1587|L0929","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.woodsindecs.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RYJEP","PrimaryPayerId":"TA720","DisplayName":"Independence Administrators","Names":"IBX|Independence Blue Cross|Independence Health Group","Aliases":"10417|5113|6519|INDADM|TA720","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"PA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ibx.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JEBME","PrimaryPayerId":"CB231","DisplayName":"Independence American Insurance Company","Names":"IAIC","Aliases":"1189|2563|CB231","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.loomisco.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DACBS","PrimaryPayerId":"54704","DisplayName":"Independence Blue Cross","Names":"Independence Blue Cross - Medicare Advantage|Independence Blue Cross Dental Plan – Blueextrasm|Independence Blue Cross Pennsylvania|Independence Blue Cross Pennsylvania Personal Choice|Keystone Health Plan East","Aliases":"100337|10262|2781|3560|54704|54704MA|IBC01|PAIBCE|SX083","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"PA","Programs":"COMMERCIAL|MEDICARE","PtanRequired":"false","ParentPayerGroupId":"SRQGL","ParentPayerGroupName":"Independence Health Group Inc Group","WebsiteUrl":"https://www.ibx.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FGXIB","PrimaryPayerId":"91164","DisplayName":"Independent Clinics of Washington","Names":"HMSO Highline Medical Services Organization|Highline Medical Services Organization|ICW","Aliases":"4102|6984|91164","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"WA","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://ic-wa.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SDFEL","PrimaryPayerId":"95308","DisplayName":"Independent Health","Names":"Independent Health Association, Inc.","Aliases":"10536|3425|3520|3545|549|95308|NYIHAW|PKQUF|SX073|SX073MA|WONRS","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"ONE_CLICK","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"ONE_CLICK","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NY","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.independenthealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WGPZQ","PrimaryPayerId":"81397","DisplayName":"Independent Living Systems","Names":"ILS Calaim","Aliases":"4122|7957|81397|BOEUB","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://ilshealth.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BMZOE","PrimaryPayerId":"AAG17","DisplayName":"Independent Living Systems (Independent Living Services Lead Agency)","Names":"Independent Living Systems (ILS Lead Agency)","Aliases":"AAG17","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"FL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://ilshealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AQPVA","PrimaryPayerId":"00290","DisplayName":"Indian Health Services","Names":"","Aliases":"00290|5865|8921","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ihs.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SNKDB","PrimaryPayerId":"35600","DisplayName":"Indiana Department of Health Childrens Health Claims","Names":"Children's Special Health Care Services (CSHCS)","Aliases":"35600|4672|6181|CX070","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"true","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IN","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://cshcsclaims.isdh.in.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PCAMW","PrimaryPayerId":"J1425","DisplayName":"Indiana Insurance","Names":"","Aliases":"J1425","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ICMUO","PrimaryPayerId":"IHCP","DisplayName":"Indiana Medicaid","Names":"Indiana Health Coverage Programs|Medicaid Indiana","Aliases":"10103|12K09|1474|CKIN1|IHCP|IHCPE|INCAID|INMCD|MCDIN|SKIN0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"IN","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.in.gov/medicaid","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PYZLJ","PrimaryPayerId":"95444","DisplayName":"Indiana University Health Plan - Medicare Advantage","Names":"IU Health Plans Gov. Products Claims|Indiana University Health","Aliases":"12246|2502|5479|95444|95444MA|IUHLTH|UNIND","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"IN","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.iuhealthplans.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TVTLV","PrimaryPayerId":"IUHPLNS","DisplayName":"Indiana University Health Plans - Commercial","Names":"IU Health Plans","Aliases":"1236|13280|26212|4553|HPLNS|IUHLTP|IUHPL|IUHPLNS|YUSTF","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IN","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.iuhealthplans.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HVJVX","PrimaryPayerId":"30360","DisplayName":"Individual Assurance Company Life","Names":"Individual Assurance Company, Life, Health & Accident","Aliases":"1030|30360|7215","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://iaclife.net","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TEKXL","PrimaryPayerId":"43471","DisplayName":"iNetico, Inc. (Valenz)","Names":"BenefitManagementAdministrators|Inetico Incorporated|Seminole Tribe of Florida|Vālenz Care|Vālenz Health","Aliases":"00089|43471|5673|6460|78702","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.valenzhealth.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KNWBC","PrimaryPayerId":"38343","DisplayName":"Ingham Health Plan Corporation","Names":"","Aliases":"38343|7252|8670","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"MI","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ihpmi.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KGORL","PrimaryPayerId":"J1907","DisplayName":"Ingles Markets","Names":"","Aliases":"J1907","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AKNIL","PrimaryPayerId":"IEHP1","DisplayName":"Inland Empire Health Plan","Names":"IEHP|Inland Empire Health","Aliases":"10104|6589|7743|IEHP|IEHP1|IEHP2|IEHP2MA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"CA","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.iehp.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ODHXM","PrimaryPayerId":"IECCA","DisplayName":"Inland Empire Health Plan (Covered California)","Names":"IEHP","Aliases":"1879|3950|IECCA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.iehp.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GLAEC","PrimaryPayerId":"MVMM1","DisplayName":"Inland Faculty Medical Group","Names":"IFMG|Optum Care Network","Aliases":"6219|9678|MPM70|MVMM1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"FIVMG","ParentPayerGroupName":"UnitedHealth Group","WebsiteUrl":"https://www.ifmgipa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HYGAX","PrimaryPayerId":"MVMM2","DisplayName":"Inland Faculty Medical Group","Names":"Medpoint Management|Optum","Aliases":"7112|MVMM2","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"FIVMG","ParentPayerGroupName":"UnitedHealth Group","WebsiteUrl":"https://www.ifmgipa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UEQPK","PrimaryPayerId":"98481","DisplayName":"Innermark TPA","Names":"Innermark Healthcare Software & Services|McGregor PACE|Serenity Care PACE","Aliases":" 98481|2888|8093|98481","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://innermark.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DUEQK","PrimaryPayerId":"31182","DisplayName":"InnovAge","Names":"InnovAge PACE|Total Community Care","Aliases":"14526|1634|31182|4770","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA|CO|NM|PA|VA","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.innovage.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZJCEM","PrimaryPayerId":"OSFC9","DisplayName":"Innovate OSF Healthcare Central","Names":"Innov OSF Healthcare Central","Aliases":"1049|7877|OSFC9","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.osfhealthcare.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SQHBW","PrimaryPayerId":"40025","DisplayName":"Innovation Health","Names":"Aetna|Innovation Health Plan, Inc.","Aliases":"40025|6869|7648","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"MD|VA|DC","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"IWQUE","ParentPayerGroupName":"Aetna (CVS Group)","WebsiteUrl":"https://www.innovationhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PSFPA","PrimaryPayerId":"J1599","DisplayName":"Innovative Claim Solutions (ICS) Rancho Cordova","Names":"","Aliases":"J1599","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NSQSQ","PrimaryPayerId":"J1601","DisplayName":"Innovative Claim Solutions (ICS) San Ramon","Names":"","Aliases":"J1601","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YIWIK","PrimaryPayerId":"IIHPO","DisplayName":"Innovative Integrated Health","Names":"Bakersfield PACE|Fresno PACE|Fresno Program of All-Inclusive Care for the Elderly|IIH|Orange County PACE|PeakTPA","Aliases":"1110|9517|IIHPO","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://innovativeih.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DEQGX","PrimaryPayerId":"96436","DisplayName":"Insight Benefit Administrators","Names":"Insight Benefit Administrators LLC|United Claim Solutions","Aliases":"3012|38255|8261|96436","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://insightba.net","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JNJVL","PrimaryPayerId":"38254","DisplayName":"Insight Benefit Administrators","Names":"Activa Benefit Services LLC","Aliases":"2531|38254|5404","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://insightba.net","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JZSUA","PrimaryPayerId":"J1073","DisplayName":"Insilco Corporation","Names":"","Aliases":"J1073","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JGTCM","PrimaryPayerId":"R3482","DisplayName":"Inspira Health Network Life","Names":"Inspira Living Independently for Elders","Aliases":"3497|9021|R3482","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NJ","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.inspirahealthnetwork.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UMAIR","PrimaryPayerId":"95729","DisplayName":"Inssolen","Names":"","Aliases":"95729","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UDQSF","PrimaryPayerId":"00C60","DisplayName":"InStil Health","Names":"InStil Health Insurance Company","Aliases":"00C60|1934|2180|SX161","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"SC","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"DSISB","ParentPayerGroupName":"Blue Cross Blue Shield of South Carolina","WebsiteUrl":"https://www.instilhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NQSWP","PrimaryPayerId":"ZP1071","DisplayName":"Insurance Administrative Solutions","Names":"IAS|Insurance Administrative Services","Aliases":"ZP1071","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.iasadmin.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XVZVM","PrimaryPayerId":"75300","DisplayName":"Insurance Administrative Solutions","Names":"IAS","Aliases":"3738|75300","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.iasadmin.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DXQST","PrimaryPayerId":"Z98840","DisplayName":"Insurance Company Of North America","Names":"Insurance Company Of North America","Aliases":"Z98840","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OTHZJ","PrimaryPayerId":"13315","DisplayName":"Insurance Design Administrators","Names":"IDA","Aliases":"13315|2871|3906|IHS16","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://idatpa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IUVMV","PrimaryPayerId":"72091","DisplayName":"Insurance Management Administrators Louisiana Incorporated","Names":"Insurance Management Administrators Louisiana Incorporated (90 degree benefits)","Aliases":"1040|7189|72091","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://90degreebenefits.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KGWDT","PrimaryPayerId":"74385","DisplayName":"Insurance Systems Incorporated","Names":"","Aliases":"1127|11889|3573|74385|ZP1171","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JZASC","PrimaryPayerId":"39182","DisplayName":"InsuranceTPA.com","Names":"Insurance Third Party Administrator|International Funding","Aliases":"2176|2688|39182","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.insurancetpa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DHING","PrimaryPayerId":"J1204","DisplayName":"Insurica","Names":"Abilene Independent School District Run Off|Abilene Independent School District Self Insured|Alamo Heights Independent School District|Aledo Independent School District|Bellville Independent School District|Benavides Independent School District|Big Spring Independent School District|Birdville Independent School District|Brackett Independent School District|Brady Independent School District|Breckenridge Independent School District|Brooks County Independent School District|Brownfield Independent School District|Burleson County Alternative School|Burleson-Milam Cooperative|Caldwell Independent School District|Canyon Independent School District|Carrizo Springs Consolidated Independent School District|Center Point Independent School District|City of Wichita Falls|Clarksville Independent School District|Cotulla Independent School District|Crystal City Independent School District|Dalhart Independent School District|DeSoto Independent School District|Del Valle Independent School District|Denver City Independent School District|Dilley Independent School District|Dumas Independent School District|Duncanville Independent School District|Eagle Mountain-Saginaw Independent School District|Edinburg Consolidated Independent School District|Edward Claims Administration (Texas)|Floresville Independent School District|Forney Independent School District|Fort Sam Houston Independent School District|Frenship Independent School District|Frio County|Gainesville Independent School District|Garner Independent School District|Georgetown Independent School District|Godley Independent School District|Graford Independent School District|Gruver Independent School District|Hidalgo Independent School District|Howard County|Hudspeth County|Huffman Independent School District (ISD)|Junction Independent School District (ISD)|Karnes City Independent School District (ISD)|Kennedale Independent School District (ISD)|La Vernia Independent School District (ISD)|La Villa Independent School District (ISD)|Lackland Independent School District (ISD)|Lago Vista Independent School District (ISD)|Levelland Independent School District (ISD)|Lewisville Independent School District Self Insured|Liberty Eylau Independent School District (ISD)|Marble Falls Independent School District (ISD)|Marlin Independent School District (ISD)|Mercedes Independent School District (ISD)|Mexia Independent School District (ISD)|Midland County|Millsap Independent School District (ISD)|Mission Consolidated Independent School District (CISD)|Mission Consolidated Independent School District (ISD)|Moody Independent School District (ISD)|Morton Independent School District (ISD)|Muleshoe Independent School District (ISD)|Nacogdoches Independent School District (ISD)|Natalia Independent School District (ISD)|New Caney Independent School District (ISD)|Pearsall Independent School District (ISD)|Perryton Independent School District (ISD)|Plains Independent School District (ISD)|Plemons Stinnett Phillips Consolidated Independent School District (CISD)|Poolville Independent School District (ISD)|Poth Independent School District (ISD)|Potter County|Randall County|River Road Independent School District (ISD)|San Angelo Independent School District (ISD)|Seminole Independent School District (ISD)|Silsbee Independent School District (ISD)|Slaton Independent School District (ISD)|Snyder Independent School District (ISD)|Somerset Independent School District (ISD)|Southland Independent School District (ISD)|Southside Independent School District (ISD)|Spearman Independent School District (ISD)|Springtown Independent School District (ISD)|Stockdale Independent School District (ISD)|Stratford Independent School District (ISD)|Sunray Independent School District (ISD)|Tarrant Appraisal District|Uvalde Consolidated Independent School District (CISD)|Weatherford Independent School District (ISD)|Webnburg Consolidated Independent School District (CISD)|Weimar Independent School District (ISD)|White Deer Independent School District (ISD)|Whiteface Consolidated Independent School District (CISD)|Yorktown Independent School District (ISD)","Aliases":"J1204","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://insurica.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AFYZL","PrimaryPayerId":"51020","DisplayName":"Integra Administrative Group","Names":"","Aliases":"11054|51020|6651|6754|INTAG","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://integratpa.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HCTAF","PrimaryPayerId":"INTEG","DisplayName":"Integra Partners","Names":"Access Integra","Aliases":"8119|INTEG","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://accessintegra.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZYODM","PrimaryPayerId":"INET1","DisplayName":"IntegraNet Health","Names":"IntegraNet","Aliases":"00365|3038|4116|INET1|INET2|ISCN1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"TX","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.integranethealth.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OBUOR","PrimaryPayerId":"MPM26","DisplayName":"Integrated Health Partners (IHP)","Names":"MedPOINT Management","Aliases":"1107|9519|MPM26","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medpointmanagement.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KNAWF","PrimaryPayerId":"IHCS1","DisplayName":"Integrated Homecare Services","Names":"","Aliases":"4070|8814|IHCS1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JWYSH","PrimaryPayerId":"20050","DisplayName":"Integrated Medical Solutions","Names":"","Aliases":"20050|4644|6163","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SEJMJ","PrimaryPayerId":"SAGE1","DisplayName":"Integrated Payor Solutions","Names":"Sage","Aliases":"00408|2746|7924|SAGE1","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://integratedpayorsolutions.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZDAHD","PrimaryPayerId":"87765","DisplayName":"Interactive Medical Systems","Names":"","Aliases":"56132|7820|87765|9531|JNHQG","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ims-tpa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZBDZE","PrimaryPayerId":"J1542","DisplayName":"Intercare","Names":"InterCare","Aliases":"J1542","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DQSPF","PrimaryPayerId":"37227","DisplayName":"Intercare Health Plans Incorporated","Names":"CNIC Health Solutions","Aliases":"37227","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://intercareins.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NXTRT","PrimaryPayerId":"INCHN","DisplayName":"InterCommunity Health Network CCO","Names":"Samaritan Health Plans|Samaritan Health Services","Aliases":"INCHN|INTHP","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"OR","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"NHVLE","ParentPayerGroupName":"Samaritan Health Services Group","WebsiteUrl":"https://ihntogether.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HAOCN","PrimaryPayerId":"J1810","DisplayName":"Interinsurance Exchange of the Automobile Club","Names":"","Aliases":"J1810","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PZLWJ","PrimaryPayerId":"LS499","DisplayName":"Intermountain Healthcare","Names":"","Aliases":"LS499","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VCSMQ","PrimaryPayerId":"48603","DisplayName":"International Brotherhood of Boilermakers Employee Health Care Plan","Names":"","Aliases":"2678|48603|5808","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ibbehc.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZRJEY","PrimaryPayerId":"A1317","DisplayName":"International Brotherhood of Electrical Workers Local 38","Names":"","Aliases":"A1317","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"OH","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://ibew38.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PGSTV","PrimaryPayerId":"IMGIN","DisplayName":"International Medical Group","Names":"IMG","Aliases":"1681|4876|IMGIN","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.imglobal.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SDYVB","PrimaryPayerId":"84137","DisplayName":"InterWest Health Preferred Provider Organization Montana","Names":"InterWest Health|Prime Health Services","Aliases":"3451|4601|84137","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"ID|MT|NE|ND|SD|UT|WA|WY","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.interwesthealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JTELR","PrimaryPayerId":"35115","DisplayName":"INTotal Health","Names":"","Aliases":"1103|35115|9507","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"VA","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"FIVMG","ParentPayerGroupName":"UnitedHealth Group","WebsiteUrl":"http://www.myintotalhealth.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KZAYB","PrimaryPayerId":"40753","DisplayName":"Invicta Health Solutions","Names":"Receivable Solutions","Aliases":"4061|40753|8805","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://rsircm.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SEDPL","PrimaryPayerId":"RP075","DisplayName":"Iowa Health Advantage","Names":"American Health Plans","Aliases":"14390|8000|9713|RP075","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"IA","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://iowahealthadvantage.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DRBXW","PrimaryPayerId":"HSMBS","DisplayName":"Iowa Screening Program","Names":"CFY-BCC|Iowa Breast & Cervical Cancer Screenings|Iowa Breast and Cervical Cancer Program|Medical Billing Services|PractiSynergy","Aliases":"7790|8086|HSMBS|USMBS","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://hhs.iowa.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GDKVF","PrimaryPayerId":"36342","DisplayName":"IPMG","Names":"BSSI|Benefit Systems and Services Incorporated|Insurance Program Managers Group","Aliases":"36342|4504|8409","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ipmg.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NPSQO","PrimaryPayerId":"J1887","DisplayName":"IPMG Claims Management","Names":"","Aliases":"J1887","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XWRXD","PrimaryPayerId":"15060","DisplayName":"Iqvia","Names":"","Aliases":"15060|2474|7548","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.iqvia.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EOZKL","PrimaryPayerId":"J1074","DisplayName":"Irex Corporation","Names":"IREX Corporation","Aliases":"J1074","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BWFUG","PrimaryPayerId":"87042","DisplayName":"Iron Road Healthcare","Names":"UPREHS|Union Pacific Railroad Employees Health Systems","Aliases":"00111|10599|3724|7587|87042|U6844|UPREH|UPREHS|VYRQB","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"true","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://ironroadhealthcare.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AYWDX","PrimaryPayerId":"J1075","DisplayName":"Ironworking Contract I P","Names":"Ironworking Contract IP","Aliases":"J1075","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UEANG","PrimaryPayerId":"ISOSH","DisplayName":"ISO International Student Health Insurance","Names":"","Aliases":"8042|9760|ISOSH","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.isoa.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PFAPX","PrimaryPayerId":"J1911","DisplayName":"iSurity","Names":"","Aliases":"J1911","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"GA|KY|NC|PA|SC|TN|VA","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.isurity.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"USNTA","PrimaryPayerId":"A0138","DisplayName":"J. B. Hunt Transport Incorporated","Names":"J.B. Hunt Transport Incorporated","Aliases":"A0138","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.jbhunt.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OXCPH","PrimaryPayerId":"34136","DisplayName":"J.P. Farley","Names":"J.P. Farley Corporation|JP Farley Corporation","Aliases":"2578|34136|3771","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.jpfarley.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WITRX","PrimaryPayerId":"01911","DisplayName":"J1 Legacy","Names":"","Aliases":"01911|2676","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"DAYS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CPEDT","PrimaryPayerId":"05901","DisplayName":"J5 National Part A","Names":"","Aliases":"05901|2535|3986","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PGQGH","PrimaryPayerId":"NMM07","DisplayName":"Jade Health Care Medical Group","Names":"Astrana Health","Aliases":"8010|9723|NMM07","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.jadehealthcaremedicalgroup.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LFAET","PrimaryPayerId":"JAI01","DisplayName":"Jai Medical Systems","Names":"Jai Medical Systems Healthcare","Aliases":"11147|6291|8936|JAI|JAI01|JAIMED","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"MD","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://jaimedicalsystems.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KAXGF","PrimaryPayerId":"R3493","DisplayName":"Jan Werner PACE","Names":"Jan Werner ADC|Jan Werner Adult Day Care|Jan Werner Program of All-Inclusive Care for the Elderly|The Basics at Jan Werner","Aliases":"R3493","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"TX","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://janwerneradultdaycare.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FJVJF","PrimaryPayerId":"RP099","DisplayName":"Jefferson Health Plans","Names":"Jefferson Health Plans Medicare PPO|Partners Insurance Company Medicare PPO","Aliases":"10098|1705|8072|RP099","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"PA","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.jeffersonhealthplans.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZTCLN","PrimaryPayerId":"IHS02","DisplayName":"Jericho Share","Names":"JHS Community","Aliases":"5055|8899|IHS02","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.jerichoshare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QLPDQ","PrimaryPayerId":"38271","DisplayName":"JFP Benefit Management, Inc.","Names":"","Aliases":"38271","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RSVYI","PrimaryPayerId":"J1006","DisplayName":"JI Specialty Services","Names":"","Aliases":"J1006","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BFQBS","PrimaryPayerId":"JLSFE","DisplayName":"JLS Family Enterprises","Names":"DBA League Medical Concepts","Aliases":"7254|8672|JLSFE","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://providers.jlsfe.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KJLKQ","PrimaryPayerId":"1861615387","DisplayName":"John C Fremont Health Care - Brms","Names":"Benefit & Risk Management Services","Aliases":"1861615387","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://brmsonline.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WVPHS","PrimaryPayerId":"JHHCG","DisplayName":"John Hopkins Home Care Group","Names":"Johns Hopkins Care at Home|Johns Hopkins Home Care Group","Aliases":"8201|JHHCG","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.hopkinsmedicine.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OVQUQ","PrimaryPayerId":"38310","DisplayName":"John Morrell","Names":"Avera Health Plans","Aliases":"38310|4291","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.averahealthplans.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XYTJV","PrimaryPayerId":"JMH01","DisplayName":"John Muir Health Network","Names":"JMHPN|John Muir Health|John Muir Mt. Diablo Health System","Aliases":"6747|68036|7653|JMH01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.johnmuirhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"POFOA","PrimaryPayerId":"68013","DisplayName":"John Muir Trauma Physicians","Names":"JMPN|John Muir Physician Network","Aliases":"4271|68013","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.johnmuirhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BVWFA","PrimaryPayerId":"66003","DisplayName":"Johns Hopkins Advantage MD","Names":"Johns Hopkins Advantage Maryland|Johns Hopkins Health Plans","Aliases":"00238|66003|7715|9656|JNHP|JNHPS","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"MD","Programs":"","PtanRequired":"false","ParentPayerGroupId":"YGHGT","ParentPayerGroupName":"Johns Hopkins Healthcare Group","WebsiteUrl":"https://www.hopkinsmedicare.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NRWAE","PrimaryPayerId":"52189","DisplayName":"Johns Hopkins Health Plans","Names":"Johns Hopkins Employee Health Plan|Johns Hopkins Employer Health Programs (EHP)|Johns Hopkins HealthCare LLC|Johns Hopkins Priority Partners|Priority Partners","Aliases":"11132|1592|52189|52189A|5432|JHHP|JHOHP","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"MD","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.hopkinsmedicine.org","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CAVQX","PrimaryPayerId":"52123","DisplayName":"Johns Hopkins U.S. Family Health Plan (USFHP)","Names":"Johns Hopkins US Family Health Plan (USFHP)|Johns Hopkins USFHP","Aliases":"10267|12258|4750|4959|52123|JHFHP|JHUSFP","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"MD","Programs":"TRICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.hopkinsusfhp.org","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TPEAX","PrimaryPayerId":"J1076","DisplayName":"Jones Truck Lines Incorporated","Names":"","Aliases":"J1076","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZMBPF","PrimaryPayerId":"J4325","DisplayName":"Jopari Berkley Enterprise Risk","Names":"","Aliases":"J4325","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ATGYO","PrimaryPayerId":"43178","DisplayName":"Joplin Claims","Names":"","Aliases":"00337|1659|3255|43178","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.pointchealth.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OBECU","PrimaryPayerId":"98471","DisplayName":"Jordan Valley Senior Care","Names":"Jordan Valley Senior Care Program of All-Inclusive Care for the Elderly (PACE)","Aliases":"98471","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"MO","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.jordanvalley.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MYCUJ","PrimaryPayerId":"12T47","DisplayName":"JP Specialities","Names":"","Aliases":"12T47","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KAFKR","PrimaryPayerId":"75604","DisplayName":"JPS Connection","Names":"JPS Health Network","Aliases":"1254|3914|75604","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TX","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://jpshealthnet.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MVCDV","PrimaryPayerId":"JUDIH","DisplayName":"Judi Health","Names":"","Aliases":"3751|9043|JUDIH","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.judi.health","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PCRBX","PrimaryPayerId":"J1077","DisplayName":"Juvenile Jail Facility Management","Names":"","Aliases":"J1077","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IDIGE","PrimaryPayerId":"94320","DisplayName":"Kaiser CSI California Select for Individuals","Names":"Kaiser - Self Funded|Kaiser Self Funded Plan Harrington Fiserv","Aliases":"1666|4293|94320","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"XKDBO","ParentPayerGroupName":"Kaiser Foundation Group","WebsiteUrl":"https://kaiserpermanente.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZECTW","PrimaryPayerId":"100173","DisplayName":"Kaiser Foundation Health Plan Colorado","Names":"Kaiser Foundation Colorado|Kaiser Foundation Health Plan of Colorado","Aliases":"00277|00277MA|100173|10110|1931|2439|91617|COKAIS|COKSR|KSFCO|RH003","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"CO","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"XKDBO","ParentPayerGroupName":"Kaiser Foundation Group","WebsiteUrl":"https://kaiserpermanente.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HXIKH","PrimaryPayerId":"21313","DisplayName":"Kaiser Foundation Health Plan Georgia","Names":"Kaiser Health Plan Incorporated Georgia Region|Kaiser Permanente Georgia","Aliases":"100186|10238|1846|21313|21313MA|8546|GAKAIS|KSPGA|NG010|RH008","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"GA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"XKDBO","ParentPayerGroupName":"Kaiser Foundation Group","WebsiteUrl":"https://kaiserpermanente.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TGZKH","PrimaryPayerId":"94123","DisplayName":"Kaiser Foundation Health Plan Hawaii","Names":"Kaiser Permanente Health Plan Hawaii","Aliases":"5925|6772|94123|KPIC1|KSERD|KSRHI|RH0011","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"HI","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"XKDBO","ParentPayerGroupName":"Kaiser Foundation Group","WebsiteUrl":"https://www.kpinhawaii.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NOQOP","PrimaryPayerId":"KSRA","DisplayName":"Kaiser Foundation Health Plan Mid-Atlantic","Names":"Kaiser Foundation Health Plan of the Mid-Atlantic States","Aliases":"100181|10113|2819|52095|52095MA|7506|KSFMA|KSRA|NG008|RH010","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"MD|VA|DC","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"XKDBO","ParentPayerGroupName":"Kaiser Foundation Group","WebsiteUrl":"https://kaiserpermanente.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RNMGY","PrimaryPayerId":"KSRCN","DisplayName":"Kaiser Foundation Health Plan Northern California","Names":"Kaiser Permanente Northern California","Aliases":"100177|10115|2582|3781|94135|94135MA|KS003|KSRCN|KSRNCA|RH009","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"94-1340523","CoverageTypes":"medical|vision","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"XKDBO","ParentPayerGroupName":"Kaiser Foundation Group","WebsiteUrl":"https://kaiserpermanente.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GJUXI","PrimaryPayerId":"100178","DisplayName":"Kaiser Foundation Health Plan Northwest","Names":"Kaiser Foundation Northwest","Aliases":"100178|10114|1544|2266|93079|GDSKP|KAISNW|KSRNW|NG009|NW002|RH002|RP073","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"OR|WA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"XKDBO","ParentPayerGroupName":"Kaiser Foundation Group","WebsiteUrl":"https://healthy.kaiserpermanente.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OHKFC","PrimaryPayerId":"94134","DisplayName":"Kaiser Foundation Health Plan Southern California","Names":"","Aliases":"100180|100709|10239|1703|4576|94134|94134MA|KS001|KSRCS|KSRSCA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"XKDBO","ParentPayerGroupName":"Kaiser Foundation Group","WebsiteUrl":"https://kaiserpermanente.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ASLGA","PrimaryPayerId":"91051","DisplayName":"Kaiser Foundation Health Plan Washington","Names":"Kaiser Foundation Health Plan Washington Options|Kaiser Permanente of Washington (KPWA)|Kitsap Physician Services","Aliases":"10341|10608|6511|8405|91051|91051MA|GRPNW|RFEUR","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"ID|WA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"XKDBO","ParentPayerGroupName":"Kaiser Foundation Group","WebsiteUrl":"https://kaiserpermanente.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MNENL","PrimaryPayerId":"40137","DisplayName":"Kalos Health","Names":"","Aliases":"40137|7720|9665","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.kaloshealth.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MNHKX","PrimaryPayerId":"GSH02","DisplayName":"KAMG Hospital","Names":"Korean American Medical Group IPA|Seoul Medical Group","Aliases":"3552|GSH02","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.kamgipa.com/en/healthsmart-mso","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QITGH","PrimaryPayerId":"KCIPA","DisplayName":"Kane County Independent Practice Association","Names":"Kane County Independent Physicians Association","Aliases":"3679|5882|KCIPA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"URQYM","PrimaryPayerId":"CX058","DisplayName":"Kansas City Life Group Benefits","Names":"Kansas City Life Insurance Company|Kansas City Life Insurance Company and Healthy Choices","Aliases":"CX058|TKC01","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.kclgroupbenefits.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BEKXP","PrimaryPayerId":"71066","DisplayName":"Kansas Health Advantage","Names":"American Health Plans","Aliases":"14396|71066|7782|8516","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"KS","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://kansashealthadvantage.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QACAO","PrimaryPayerId":"KMG11","DisplayName":"Katy Medical Group","Names":"Katy Medical Group (SelectCare Texas)","Aliases":"81812|KMG11","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VGWJC","PrimaryPayerId":"IP084","DisplayName":"Kaweah Delta Medicare Advantage","Names":"Kaweah Health","Aliases":"8674|IP084","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.kaweahhealth.org","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FROTU","PrimaryPayerId":"KEE01","DisplayName":"Keenan and Associates","Names":"Prime Healthcare EHP|Prime Healthcare Employee Health Plan|Valenz","Aliases":"6838|7617|94749|95279|KEE01|QVYEM|ZP1165","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.keenan.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WBUTG","PrimaryPayerId":"J1498","DisplayName":"Keenan and Associates (Excluding City of Pasadena)","Names":"","Aliases":"J1498","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.keenan.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SADTJ","PrimaryPayerId":"J1803","DisplayName":"Kellogg Companies","Names":"","Aliases":"J1803","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OGLTC","PrimaryPayerId":"23274","DisplayName":"Kelly Benefits","Names":"Gettysburg Health Administrators|HealthGroup Limited","Aliases":"23274","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://kellybenefits.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HNOBE","PrimaryPayerId":"KELSE","DisplayName":"Kelsey-Seybold","Names":"Kelsey-Seybold Clinic|KelseyCare Health Plans","Aliases":"00328|1428|14336|5982|KELSE|KELSI|NQGHT","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TX","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.kelsey-seybold.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QDKBS","PrimaryPayerId":"C1030","DisplayName":"Kemper Preferred","Names":"Trinity Universal Insurance|Unitrin Auto and Home Insurance|Unitrin Direct Auto Insurance|Unitrin Safeguard Insurance","Aliases":"C1030","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.kemper.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VRDPU","PrimaryPayerId":"73100","DisplayName":"Kempton Group","Names":"Kempton Company|Kempton Group Administrator|TheKemptonGroup","Aliases":"00478|10698|4577|73100|8435|90210|KEMCO","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://kemptongroup.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UBXKX","PrimaryPayerId":"J1079","DisplayName":"Ken Davis Industries Incorporated","Names":"","Aliases":"J1079","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JFQUB","PrimaryPayerId":"KENT1","DisplayName":"Kent County Health Plan","Names":"","Aliases":"KENT1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JDGJD","PrimaryPayerId":"ZP501","DisplayName":"Kentucky Employers Mutual Insurance Authority","Names":"Kentucky Employers Mutual Insurance Authority","Aliases":"ZP501","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JSNLZ","PrimaryPayerId":"82357","DisplayName":"Kentucky Health Administrators","Names":"Quilt Benefits","Aliases":"27215|6018|82357|9165","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://advisoryha.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MUEQX","PrimaryPayerId":"22149","DisplayName":"Kern County Health & Wellness","Names":"County of Kern, California|Payer Compass","Aliases":"22149|6815","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.kerncountyhealthbenefits.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IQTVI","PrimaryPayerId":"77039","DisplayName":"Kern Family Health Care","Names":"Kern Health Systems","Aliases":"14453|3803|77039|9500|ZP4028","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"CA","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.kernfamilyhealthcare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NDAYC","PrimaryPayerId":"89890","DisplayName":"Kern Legacy Health Plans","Names":"County of Kern|Kern County","Aliases":"1118|89890|9528","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"http://www.kernlegacyhp.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GVSWM","PrimaryPayerId":"37323","DisplayName":"Key Benefit Administrators","Names":"Key Solution","Aliases":"11055|37323|7256|8673","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.kbasolution.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YWVAW","PrimaryPayerId":"11067","DisplayName":"Key Benefit Administrators","Names":"Key Benefit Administrators (Indianapolis, Indiana)","Aliases":"10754|11044|11053|11067|2821|37217|7505|KBKBA|UKSHS|YJMST","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"IN","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://kbasolution.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HNGEW","PrimaryPayerId":"95460","DisplayName":"Key Health Medical Solutions Incorporated","Names":"","Aliases":"7240|95460","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"http://www.keyhealth.net","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SOLWG","PrimaryPayerId":"IP082","DisplayName":"Key Medical Group","Names":"Mosaic IPA Medical Group","Aliases":"4167|IP082","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JQLVD","PrimaryPayerId":"IP083","DisplayName":"Key Medical Group - Medicare Advantage","Names":"","Aliases":"4150|9663|IP083","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PYBPF","PrimaryPayerId":"J1521","DisplayName":"Key Risk Management Services LLC","Names":"","Aliases":"00205|J1521","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XPANG","PrimaryPayerId":"37321","DisplayName":"Key Select","Names":"","Aliases":"37321|4933|5880","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DEYMH","PrimaryPayerId":"KCMD1","DisplayName":"KeyCare Advantage","Names":"KeyCare Maryland","Aliases":"3065|8467|KCMD1","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"MD","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://keycareadvantage.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HRXIB","PrimaryPayerId":"23284","DisplayName":"Keystone First","Names":"Keystone Family Health Plan|Keystone First Aligned|Keystone First TPA|Vista Health Plan","Aliases":"23284|6531|8475|A3284|KEYST|KMHPLN|ZLNUO","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"PA","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.keystonefirstpa.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TDTSG","PrimaryPayerId":"30070","DisplayName":"Keystone First CHIP","Names":"Keystone First - CHIP|Vista Health Plan","Aliases":"16611|2897|30070|8098","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"PA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.keystonefirstchip.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VAOXB","PrimaryPayerId":"42344","DisplayName":"Keystone First Community HealthChoices","Names":"Keystone Family Health Plan|Keystone First CHC|Vista Health Plan","Aliases":"1093|12271|42344|8121|KSFCHC","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"PA","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.keystonefirstchc.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TGXAN","PrimaryPayerId":"77741","DisplayName":"Keystone First VIP Choice","Names":"Keystone First Pennsylvania Community HealthChoices|Vista Health Plan","Aliases":"11182|6649|6751|77741|77741MA|APA01|JKHJM|KSVPC|KVIPC","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"PA","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.keystonefirstvipchoice.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IWVSP","PrimaryPayerId":"95056","DisplayName":"Keystone Health Plan East","Names":"IBX|Independence Blue Cross|Independence Health Group|Keystone East HMO","Aliases":"12X25|16711|3559|7417|95056|PCBLS","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"SRQGL","ParentPayerGroupName":"Independence Health Group Inc Group","WebsiteUrl":"https://www.ibx.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZYSZP","PrimaryPayerId":"KYMHP","DisplayName":"Keystone Mercy Health Plan","Names":"","Aliases":"10300|KEY01|KYMHP","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JWAEM","PrimaryPayerId":"35463","DisplayName":"Kindbody","Names":"Empire Medical Practice PC|KB Medical Practice PC","Aliases":"35463|8021|9467","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://kindbody.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EWEJH","PrimaryPayerId":"J1078","DisplayName":"Kinetic Concepts","Names":"KCI Holdings USA","Aliases":"J1078","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XIMOT","PrimaryPayerId":"J1614","DisplayName":"Kirkland's Incorporated","Names":"Kirklands Incorporated","Aliases":"J1614","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MXUFL","PrimaryPayerId":"80089","DisplayName":"Klais and Company (Part A and Part B)","Names":"HealthSmart","Aliases":"3414A|80089","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.healthsmart.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BAVRD","PrimaryPayerId":"RP132","DisplayName":"Klyre","Names":"Klyre Payments|Klyre Payments Network","Aliases":"2749|7926|RP132","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.klyrepay.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VAJXU","PrimaryPayerId":"HCMG1","DisplayName":"KM Strategic Management","Names":"Family Seniors Medical Group|Hemet Community Medical Group|KMSM|Menifee Valley Community Medical Group|Temecula Valley Medical Group","Aliases":"7703|9646|HCMG1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://kmsm.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QRVKE","PrimaryPayerId":"04430","DisplayName":"Know The Costs","Names":"","Aliases":"04430|2884|8087","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.knowthecosts.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VNBHW","PrimaryPayerId":"65871","DisplayName":"Koan Risk Solutions","Names":"State of Hawaii Organ and Tissue Transplant (SHOTT)","Aliases":"6069|65871|9228","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"HI","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.koanrisksolutions.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CSBAU","PrimaryPayerId":"RP091","DisplayName":"Kopp Billing Agency Inc.","Names":"","Aliases":"8044|9763|RP091","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"ONE_CLICK","ProfessionalClaimEnrollmentTimeframe":"DAYS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"ONE_CLICK","InstitutionalClaimEnrollmentTimeframe":"DAYS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.koppbilling.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AKXMG","PrimaryPayerId":"KOVA1","DisplayName":"Kova Healthcare Incorporated","Names":"","Aliases":"1298|2070|KOVA1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.kova-health.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OSKPQ","PrimaryPayerId":"10748","DisplayName":"KSKJ Life","Names":"Slovenian Catholic Union of America","Aliases":"10748|Z95791","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.kskjlife.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BKRUR","PrimaryPayerId":"57610","DisplayName":"Kuspuk School District","Names":"","Aliases":"57610|7162|8602","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"AK","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.kuspuk.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JMOXY","PrimaryPayerId":"LACAR","DisplayName":"L.A. Care Health Plan (California)","Names":"Los Angeles Care Health Plan (California)","Aliases":"11060|5988|6484|LACAR|LACRE","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"CA","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://lacare.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LIYWY","PrimaryPayerId":"J1514","DisplayName":"LA Department of Water and Power","Names":"Department of Water and Power of the City of Los Angeles|LADWP","Aliases":"J1514","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ladwp.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PBMPR","PrimaryPayerId":"MPM19","DisplayName":"LACH HealthNet by MedPoint","Names":"LA Care HealthNet by Medpoint|MedPOINT Management","Aliases":"1057|7884|MPM19","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medpointmanagement.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EVYTK","PrimaryPayerId":"71037","DisplayName":"Lafayette Consolidated Government","Names":"","Aliases":"71037","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BHUQK","PrimaryPayerId":"LALA1","DisplayName":"Lagniappe Advantage","Names":"","Aliases":"16730|4109|9092|LALA1","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"LA","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://lagniappeadvantage.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UAFCB","PrimaryPayerId":"52511","DisplayName":"Lake Area Community Health Plan","Names":"Lake Area Community Healthplan|SISCO|VHS","Aliases":"52511|7161|8601","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.siscobenefits.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BZMYS","PrimaryPayerId":"LMG01","DisplayName":"Lakeside Community Healthcare","Names":"Community Medical Group of the West Valley|Eastland Medical Group Independent Practice Association|Glendale Memorial Group|Keystone Health|Lakeside Community Healthcare|Lakeside Medical Group|Regal Medical Group|Verdugo Hills Medical Group|West Covina Medical Group","Aliases":"LMG01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.lakesidemed.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GRGHJ","PrimaryPayerId":"66127","DisplayName":"Lakeside Comprehensive Healthcare","Names":"","Aliases":"6061|66127|9216","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FCVDK","PrimaryPayerId":"95415","DisplayName":"Lakeside Health Services","Names":"","Aliases":"95415","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SAOAO","PrimaryPayerId":"66125","DisplayName":"Lakeside Medical Group","Names":"","Aliases":"5886|66125|9575|LMG11","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.regalmed.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PZRPK","PrimaryPayerId":"LU454","DisplayName":"Landin Services LLC","Names":"","Aliases":"LU454","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"VA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://landininc.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TKDUF","PrimaryPayerId":"LHP31","DisplayName":"Landmark Health Plan of California","Names":"Landmark Healthplan of California","Aliases":"LHP31","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.lhp-ca.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GWHMI","PrimaryPayerId":"LNDMK","DisplayName":"Landmark Healthplan","Names":"Landmark Healthcare|Landmark Healthplan of California Inc.","Aliases":"3294|LNDMK","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.lhp-ca.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FDPMI","PrimaryPayerId":"J1889","DisplayName":"Landry's","Names":"","Aliases":"J1889","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"POWYG","PrimaryPayerId":"J1080","DisplayName":"Landstar BCO Workers' Compensation Program","Names":"","Aliases":"J1080","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JXCFX","PrimaryPayerId":"48888","DisplayName":"Lantern Care","Names":"Employer Direct Healthcare|Lantern Surgery Care","Aliases":"1198|2611|48888","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://lanterncare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NILBC","PrimaryPayerId":"LSMA2","DisplayName":"LaSalle Medical Associates","Names":"Altura MSO|LaSalle Medical Group","Aliases":"1626|1862|6115|LSMA2|NMM02","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.lasallemedicalassociates.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CYRYV","PrimaryPayerId":"53122","DisplayName":"Lassen Municipal Utility District","Names":"","Aliases":"53122","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.lmud.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QYHNH","PrimaryPayerId":"10550","DisplayName":"Lasso HealthCare MSA","Names":"Lasso Healthcare Managed Services Agreement","Aliases":"10550|14423|2018|8153","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IYTSV","PrimaryPayerId":"LAWND","DisplayName":"Lawndale Christian Health Center","Names":"","Aliases":"6007|9156|LAWND","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://lawndale.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YNIJZ","PrimaryPayerId":"OMNIA","DisplayName":"Leading Edge Administrators","Names":"LEA|Omni Administrators","Aliases":"8219|OMNIA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://leadingedgeadmin.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IKDNF","PrimaryPayerId":"J1527","DisplayName":"League of Minnesota Cities Insurance Trust","Names":"","Aliases":"J1527","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VJPZL","PrimaryPayerId":"16023","DisplayName":"Lemonade Insurance Company","Names":"Lemonade Insurance Company","Aliases":"16023","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IBQVT","PrimaryPayerId":"A3565","DisplayName":"Leon Health Plan","Names":"LEON Health","Aliases":"7028|9412|A3565","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"FL","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.leonhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DRVLU","PrimaryPayerId":"LVL21","DisplayName":"Level Health ","Names":"","Aliases":"LVL21","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.levelhealthplans.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MJDZV","PrimaryPayerId":"J1650","DisplayName":"LFP Corporation","Names":"","Aliases":"J1650","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MOARA","PrimaryPayerId":"LIB01","DisplayName":"Liberty Advantage North Carolina","Names":"Liberty Medicare Advantage","Aliases":"4056|8796|LIB01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://libertyadvantageplan.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XYAGN","PrimaryPayerId":"CX083","DisplayName":"Liberty Dental Plan","Names":"Alameda Alliance Wellness (Dental plan from Alameda Alliance for Health)|CalOptima - OneCare Dental|Care1st Health Plan - Medicare Advantage Dental|Care1st Health Plan - PHP Los Angeles & San Bernardino County Dental|Community Health Plan - HMO Dental & PPO Dental|Community Health Plan - PPO Dental & PPO Family Dental|EasyChoice Health Plan - Dental|Golden State Medicare Health Plan - Dental|Health Net - Healthy Families Dental A, B & C|Health Net - LA & Sacramento Dental|Health Net - Los Angeles PHP Dental|Health Net - Sacramento GMC Dental|Healthy Alliance Life Insurance - PPO Dental|LA Care Health Plan - Dental|MGM Resorts International - Dental|Medica Public Programs - Dental|Molina Healthcare - Administered by Liberty Dental Plan|Ohana Health Plan - Dental|Ozark Health Plan - Dental|Palms Casino Resort - Dental|Physicians United Plan (PUP) - Dental|Rocky Mountain Health Plans - Dental High & Low Plans|Sands Bethworks Gaming - Dental|Santa Clara Family Health Plan - Dental|Shared Health of Mississippi|The Venetian - Dental|WellCare - Dental|WellPoint - Dental|Wellborn Health Plans - Dental","Aliases":"14496|2716|CX083|ISCHP","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"CA|FL|HI|IL|MS|MO|NV|NJ|NY|OK|TX","Programs":"COMMERCIAL|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.libertydentalplan.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NDWYR","PrimaryPayerId":"90753","DisplayName":"Liberty HealthShare","Names":"Medcost Liberty Health Share|Medcost Solutions LLC - LHS","Aliases":"16714|7291|90753|90753MA|9614","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.libertyhealthshare.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RJHNO","PrimaryPayerId":"65331","DisplayName":"Liberty National Life Insurance Company","Names":"","Aliases":"10989|65331|9488|LTNAN","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"HNSBU","ParentPayerGroupName":"Globe Life Incorporated Group","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XNEHY","PrimaryPayerId":"R3476","DisplayName":"Life Armstrong","Names":"LIFE Armstrong County|Lutheran SeniorLife","Aliases":"2862|8581|R3476","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"PA","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://lifeviecare.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LHDRM","PrimaryPayerId":"R3475","DisplayName":"Life Beaver PACE","Names":"LIFE Beaver and Lawrence Counties|VieCare Beaver","Aliases":"3486|R3475","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://lifeviecare.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GRKZM","PrimaryPayerId":"R3477","DisplayName":"Life Butler","Names":"LIFE Butler County|Lutheran SeniorLife|VieCare Inc.","Aliases":"R3477","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://lifeviecare.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CGBDE","PrimaryPayerId":"12T39","DisplayName":"Life Investors of America (Long Term Care)","Names":"","Aliases":"12T39","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VCVWM","PrimaryPayerId":"R3473","DisplayName":"Life St. Francis","Names":"","Aliases":"4126|9095|R3473","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NJ","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.capitalhealth.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QYPUF","PrimaryPayerId":"TRNPC","DisplayName":"Life St. Joseph of the Pines","Names":"Life St. Mary|Trinity Health PACE","Aliases":"2780|6581|TRINPC|TRNPC","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NC","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.trinityhealthpace.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LQWKL","PrimaryPayerId":"11170","DisplayName":"LifeCare Assurance Company","Names":"","Aliases":"11170|LFCAC","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"SJDXC","ParentPayerGroupName":"21st Century Life & Health Company Group","WebsiteUrl":"https://www.lifecareassurance.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZYEHV","PrimaryPayerId":"71498","DisplayName":"LifeCircles PACE","Names":"","Aliases":"1037|71498|7866","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"MI","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://lifecircles-pace.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CACJR","PrimaryPayerId":"RLH01","DisplayName":"LifeMap","Names":"Life and Specialty Ventures|LifeMap Assurance Company|Regence Life and Health Insurance Company|USAble Life","Aliases":"RLH01","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://usablelife.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AITAS","PrimaryPayerId":"47865","DisplayName":"LifeShield National Insurance Co.","Names":"LifeShield National Insurance Company","Aliases":"3289|47865|8550","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://lifeshieldnational.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MXOHN","PrimaryPayerId":"93095","DisplayName":"LifeWise Assurance Company","Names":"","Aliases":"93095","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"91-1161450","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.lifewiseac.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XQJTN","PrimaryPayerId":"93094","DisplayName":"LifeWise Health Plan of Washington","Names":"","Aliases":"10843|91049|93094|JMNZC|LWWA1","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"WA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.lifewise.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EDIAT","PrimaryPayerId":"LWA01","DisplayName":"LifeWorks Advantage","Names":"Lifeworks Advantage (Institutional Special Needs Plan)","Aliases":"1205|16594|3554|LWA01","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"LA|VA","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://lifeworksadvantage.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZDJQG","PrimaryPayerId":"1972806511","DisplayName":"Lighthouse -Ihp","Names":"Lighthouse Home Health|Lighthouse Hospice","Aliases":"1972806511","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"UT","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.lighthousehospice.biz","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WJXQL","PrimaryPayerId":"1073657169","DisplayName":"Lighthouse Home Health Care -Ihp","Names":"Lighthouse Home Health Care -Ihp","Aliases":"1073657169","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JFIPI","PrimaryPayerId":"31456","DisplayName":"Limric Plumbing, Heating & Air (UCS BASI)","Names":"","Aliases":"31456","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GQZJG","PrimaryPayerId":"CX061","DisplayName":"Lincoln Financial","Names":"Lincoln Financial Group","Aliases":"00249|CX061","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.lincolnfinancial.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JNYKB","PrimaryPayerId":"LCB01","DisplayName":"LINECO","Names":"Line Construction Benefit Fund","Aliases":"00153|4037|8765|LCB01","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.lineco.org","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TUIMB","PrimaryPayerId":"LCM1","DisplayName":"Little Company of Mary","Names":"","Aliases":"1024|4725P|7850|LCM1|LCM10","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WAPZK","PrimaryPayerId":"LWIPA","DisplayName":"Live Well IPA","Names":"","Aliases":"1831|2679|LWIPA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://livewellipa.com/en","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PYOLO","PrimaryPayerId":"CB752","DisplayName":"Lockard Williams Insurance Services (90 Degree Benefits)","Names":"","Aliases":"6189|CB752","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://90degreebenefits.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CKBLU","PrimaryPayerId":"37267","DisplayName":"Loma Linda University Adventist","Names":"","Aliases":"37267|3971|5124","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://llu.edu","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TXHCY","PrimaryPayerId":"33036","DisplayName":"Loma Linda University Managed Care","Names":"Loma Linda University Medical Center","Aliases":"33036|4031|4084|6846|7628|8759|95352|99255","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://lluh.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OLGMU","PrimaryPayerId":"J1515","DisplayName":"Long Beach Unified School District","Names":"","Aliases":"J1515","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GYUGD","PrimaryPayerId":"GYUGD","DisplayName":"Long Island Rr (New York Mta) – Workers Compensation","Names":"Long Island Rr (New York Mta)","Aliases":"GYUGD","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NWMNM","PrimaryPayerId":"J1464","DisplayName":"Long's Drugs","Names":"Longs Drugs","Aliases":"J1464","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OHGNB","PrimaryPayerId":"LCO01","DisplayName":"Longevity Health Colorado","Names":"Longevity Health Plan|Longevity Health Plan of Colorado","Aliases":"16583|2863|8073|LCO01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"CO","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://longevityhealthplan.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QNMHX","PrimaryPayerId":"LFL01","DisplayName":"Longevity Health Florida","Names":"Longevity Health Plan|Longevity Health Plan of Florida","Aliases":"16584|3018|8268|LFL01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"FL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://longevityhealthplan.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HZCPE","PrimaryPayerId":"LIL01","DisplayName":"Longevity Health Illinois","Names":"Longevity Health Plan|Longevity Health Plan of Illinois","Aliases":"16585|3020|8270|LIL01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"IL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://longevityhealthplan.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ISFUO","PrimaryPayerId":"LMA01","DisplayName":"Longevity Health Massachusetts","Names":"Longevity Health Plan|Longevity Health Plan of Massachusetts","Aliases":"16587|LMA01","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"MA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"QRSBD","ParentPayerGroupName":"Longevity Health Group","WebsiteUrl":"https://longevityhealthplan.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SPGOG","PrimaryPayerId":"LMI01","DisplayName":"Longevity Health Michigan","Names":"Longevity Health Plan|Longevity Health Plan of Michigan","Aliases":"7017|9299|LMI01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"MI","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://longevityhealthplan.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BZYBL","PrimaryPayerId":"LNJ01","DisplayName":"Longevity Health New Jersey","Names":"Longevity Health Plan|Longevity Health Plan of New Jersey","Aliases":"16582|3064|8466|LNJ01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NJ","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://longevityhealthplan.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OIPJO","PrimaryPayerId":"LNY01","DisplayName":"Longevity Health New York","Names":"Longevity Health Plan|Longevity Health Plan of New York","Aliases":"16588|3011|8260|LNY01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NY","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://longevityhealthplan.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XIVIB","PrimaryPayerId":"LNC01","DisplayName":"Longevity Health North Carolina","Names":"Longevity Health Plan|Longevity Health Plan of North Carolina","Aliases":"16589|6090|9268|LNC01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NC","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://longevityhealthplan.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XLWLG","PrimaryPayerId":"1093714016","DisplayName":"Lord Chamberlain -Ihp","Names":"Ryders Health","Aliases":"1093714016","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"CT","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://lordchamberlain.net","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XLQLN","PrimaryPayerId":"73236","DisplayName":"Loren Cook","Names":"","Aliases":"73236","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"34-0673236","CoverageTypes":"medical","OperatingStates":"MO","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://lorencook.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VQKZX","PrimaryPayerId":"1073880902","DisplayName":"Los Alamitos -Brms","Names":"Benefit & Risk Management Services","Aliases":"1073880902","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://brmsonline.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RQBKH","PrimaryPayerId":"53120","DisplayName":"Louisiana Blue","Names":"BCBSLA|Blue Cross Blue Shield Louisiana|Blue Cross and Blue Shield of Louisiana|Group Benefits Louisiana|Louisiana Blue - Medicare Advantage|Louisiana Health Service and Indemnity Company","Aliases":"10035|23738|23739|2758|3580|53120|BCBSLA001|LABCBS|LABLS|SB670|SB670B|SB670MA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"ONE_CLICK","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"ONE_CLICK","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"23-7384555","CoverageTypes":"dental|medical|vision","OperatingStates":"LA","Programs":"COMMERCIAL|MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://providers.lablue.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TUFZR","PrimaryPayerId":"SKLA5","DisplayName":"Louisiana Medicaid Medicare Advantage Crossovers","Names":"","Aliases":"SKLA5","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VXRQL","PrimaryPayerId":"J1953","DisplayName":"Louisiana State University","Names":"LSU","Aliases":"J1953","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"LA","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.lsu.edu","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RFNPW","PrimaryPayerId":"J1465","DisplayName":"Lowe's","Names":"","Aliases":"J1465","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JNQJP","PrimaryPayerId":"56756","DisplayName":"Lower Kuskokwim School District","Names":"","Aliases":"56756|7145|7691","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YBQTS","PrimaryPayerId":"LALMS","DisplayName":"Loyal American Life Insurance Company","Names":"Cigna","Aliases":"10544|LALMS|Z90025","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"BDKOJ","ParentPayerGroupName":"Cigna","WebsiteUrl":"https://www.cigna.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GETUZ","PrimaryPayerId":"37175","DisplayName":"Loyola Physician Partners","Names":"","Aliases":"37175|6571|9275","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IL","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.loyolamedicine.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IEZWX","PrimaryPayerId":"J1081","DisplayName":"LSG Sky Chefs International","Names":"","Aliases":"J1081","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PJIRK","PrimaryPayerId":"J1341","DisplayName":"LUBA Casualty Insurance Company","Names":"","Aliases":"J1341","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YFYAT","PrimaryPayerId":"NDX99","DisplayName":"Lucet","Names":"New Directions Behavioral Health","Aliases":"1293|6552|NDX99","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://lucethealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MXPWD","PrimaryPayerId":"J1899","DisplayName":"Lumbermens Underwriting Alliance","Names":"","Aliases":"J1899","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AXVRU","PrimaryPayerId":"Z96364","DisplayName":"Lumico Life Insurance Company","Names":"","Aliases":"11236|LUMICO|Z96364","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"WLBWR","ParentPayerGroupName":"Swiss Re Group","WebsiteUrl":"https://lumico.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RKVRZ","PrimaryPayerId":"35182","DisplayName":"Luminare Health","Names":"CoreSource|CoreSource (NC & IN)|Health Care Service Corporation (HCSC)|Health Options Program (HOP)|Luminare Health (Arizona Minnesota)|Luminare Health (Maryland Pennsylvania Illinois)|Luminare Health (North Carolina Indiana)|Promise Health Plan|Trustmark Health Benefits","Aliases":"10072|14309|2587|2751|35180|35182|35189|3791|7928|CRSC1|CRSMD|RP128","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"AZ|IL|IN|MD|MN|NC|PA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.luminarehealth.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NTGNC","PrimaryPayerId":"38225","DisplayName":"Luminare Health Detroit","Names":"CoreSource Detroit|Coresource Detroit|Luminare Health Detroit|Trustmark Health Benefits","Aliases":"1773|38225|8522","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.luminarehealth.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VWZEB","PrimaryPayerId":"35187","DisplayName":"Luminare Health Internal","Names":"CoreSource|Health Care Service Corporation (HCSC)|Luminare Health Internal|Luminare Health Internal (fka )|NGS CoreSource|Trustmark Health Benefits","Aliases":"10074|35187|3983|4771","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"OH","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.luminarehealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MNKSM","PrimaryPayerId":"48117","DisplayName":"Luminare Health Kansas City","Names":"FMH Benefit Service, Inc|Health Care Service Corporation (HCSC)|Luminare Health Kansas City|Trustmark Health Benefits","Aliases":"4568|48117|5492","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.luminarehealth.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GVLWZ","PrimaryPayerId":"75136","DisplayName":"Luminare Health Little Rock","Names":"CoreSource Little Rock|Luminare Health Little Rock","Aliases":"10071|1983|3806|75136|CORSE00205|CRSAR","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"AR","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.luminarehealth.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NDNQC","PrimaryPayerId":"35183","DisplayName":"Luminare Health Ohio","Names":"CoreSource of Ohio|Luminare Health (Ohio)|Trustmark Health Benefits","Aliases":"10175|3254|35183|4947|CRSRN","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"OH","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.luminarehealth.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FLBRN","PrimaryPayerId":"LUMMI","DisplayName":"Lummi Indian Business Council","Names":"","Aliases":"LUMMI","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.lummihealth.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OAKPB","PrimaryPayerId":"89643","DisplayName":"Lutheran Advanced PPO","Names":"LutheranAdvanced PPO","Aliases":"89643","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IN","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.lutheranhealth.net","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZHMFB","PrimaryPayerId":"MP330","DisplayName":"Lutheran Preferred","Names":"MedPartners","Aliases":"39198|4082|8826|MP330","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medpartnersonline.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YIMQE","PrimaryPayerId":"LSC01","DisplayName":"Lutheran Services Carolinas","Names":"","Aliases":"1826|3605|LSC01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NC","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://lscarolinas.net","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UMACH","PrimaryPayerId":"J1547","DisplayName":"LWCC","Names":"Louisiana Workers’ Compensation Corporation","Aliases":"J1547","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"LA","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.lwcc.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RMOMK","PrimaryPayerId":"J1669","DisplayName":"Lynwood Unified School District (California)","Names":"","Aliases":"J1669","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VHSHT","PrimaryPayerId":"J1949","DisplayName":"Lynx","Names":"","Aliases":"J1949","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PZRYM","PrimaryPayerId":"M3TPA","DisplayName":"M3TPA LLC","Names":"M3 Health","Aliases":"3494|9018|M3TPA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TX","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://m3tpa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FXBUF","PrimaryPayerId":"J1343","DisplayName":"Mackinaw Administrators","Names":"","Aliases":"J1343","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DQGCO","PrimaryPayerId":"J1345","DisplayName":"Macy's (Daly City)","Names":"","Aliases":"J1345","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WYFBH","PrimaryPayerId":"J1346","DisplayName":"Macy's (Newport Beach)","Names":"","Aliases":"J1346","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XJWMR","PrimaryPayerId":"01260","DisplayName":"Magellan Health","Names":"Magellan Behavioral Health|Magellan Healthcare","Aliases":"00235|01260|10649|1419|5539|MAGLAN|MBH11","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.magellanhealth.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PVBKR","PrimaryPayerId":"11303","DisplayName":"MagnaCare","Names":"","Aliases":"10867|11303|1704|1989|DX126|MAGNA|MAGNT","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NJ|NY","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.magnacare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"USUQR","PrimaryPayerId":"J1837","DisplayName":"Main Street America Group America Assurance","Names":"","Aliases":"J1837","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XEPEX","PrimaryPayerId":"J1834","DisplayName":"Main Street America Group Austin Mutual","Names":"","Aliases":"J1834","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZJGOH","PrimaryPayerId":"J1835","DisplayName":"Main Street America Group Grain Dealers Mutual","Names":"","Aliases":"J1835","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UIRUX","PrimaryPayerId":"J1836","DisplayName":"Main Street America Group Great Lakes Casualty","Names":"","Aliases":"J1836","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XFUBN","PrimaryPayerId":"J1838","DisplayName":"Main Street America Group Insurance Protection","Names":"","Aliases":"J1838","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BYCPB","PrimaryPayerId":"J1840","DisplayName":"Main Street America Group NGM","Names":"Main Street America Group National Grange Mutual (NGM)","Aliases":"J1840","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WPHZB","PrimaryPayerId":"J1841","DisplayName":"Main Street America Group Old Dominion Company","Names":"","Aliases":"J1841","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WHVGM","PrimaryPayerId":"J1842","DisplayName":"Main Street America Group Spring Valley Mutual","Names":"","Aliases":"J1842","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OSDGO","PrimaryPayerId":"J1839","DisplayName":"Main Street America Group Surplus Non-Admitted","Names":"","Aliases":"J1839","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WULJY","PrimaryPayerId":"SKME0","DisplayName":"Maine Medicaid","Names":"Maine Department of Health and Human Services|MaineCare|Medicaid Maine","Aliases":"10121|12K13|5259|9582|CKME0|CKME1|MEMCD|ME_MES_4_MMS_IG|ME_MMIS_4_DXCMS|SKME0|SKME1","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"true","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"ME","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.maine.gov/dhhs/oms","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NRWUS","PrimaryPayerId":"J1082","DisplayName":"Major League Baseball 8","Names":"","Aliases":"J1082","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QFLWC","PrimaryPayerId":"35162","DisplayName":"Managed Care Services","Names":"Parkview Employer Solutions|Parkview Signature Care","Aliases":"1878|2520|35162","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.parkview.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GCBPJ","PrimaryPayerId":"GI813","DisplayName":"Managed DentalGuard","Names":"Guardian Retail|The Guardian Life Insurance Company of America","Aliases":"3753|GI813","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"BPMHQ","ParentPayerGroupName":"Guardian Life Group","WebsiteUrl":"https://www.guardianlife.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HIYCL","PrimaryPayerId":"22771","DisplayName":"Managed Health Networks (MHN - Non Behavioral Health Services)","Names":"Health Net|Health Net Life Insurance Company|MHN Services|Managed Health Network (CA)|Managed Health Networks","Aliases":"10863|1495|1955|22771","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"http://healthnet.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HSLAO","PrimaryPayerId":"36312","DisplayName":"Managed Healthcare Associates (MHCA)","Names":"Managed Healthcare Associates","Aliases":"36312","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XSAIQ","PrimaryPayerId":"80900","DisplayName":"Managed Provider Alliance - Custom Provider Network","Names":"MDI Custom Provider Network|MDI NetworX|Medical Provider Association - Custom Provider Network|Total Plan Concepts","Aliases":"2027|80900|8200","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.mdinetworx.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SGYUS","PrimaryPayerId":"86253","DisplayName":"ManhattanLife","Names":"Central United Life|Manhattan Life Assurance Company of America|Manhattan Life Group Inc.|Manhattan Life Insurance & Annuity Company","Aliases":"04640|14430|28148|3851|86253|9080|DX924|MNHTN","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.manhattanlife.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YHUDB","PrimaryPayerId":"98586","DisplayName":"ManhattanLife Supplemental Medical Expense Plan","Names":"","Aliases":"98586","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.manhattanlife.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GYDYO","PrimaryPayerId":"5251","DisplayName":"MAPFRE","Names":"MAPFRE Life Insurance Company of Puerto Rico","Aliases":"10679|5251|L0160|LZMSI|PRFRE","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"66-0402309","CoverageTypes":"dental|medical|vision","OperatingStates":"PR","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"VGDVE","ParentPayerGroupName":"Mapfre Insurance Group","WebsiteUrl":"https://www.mapfre.pr","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DXZSY","PrimaryPayerId":"52461","DisplayName":"March Vision Care","Names":"March Vision Network|UnitedHealthcare Community Vision Network","Aliases":"00483|14498|5246|52461|9047|Z1407","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"FIVMG","ParentPayerGroupName":"UnitedHealth Group","WebsiteUrl":"https://providers.eyesynergy.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QGDAX","PrimaryPayerId":"09908","DisplayName":"Maricopa Health Plan","Names":"MARICOPA HEALTH PLAN (UAHP)|Maricopa Health Plan - Maricopa Care Advantage|UNIVERSITY FAMILY CARE MARICOPA|UNIVERSITY FAMILY CARE MARICOPA HEALTH PLAN","Aliases":"09908|2719|8954|9908|MARIHP","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WMXHB","PrimaryPayerId":"77304","DisplayName":"Marin Headlands Medical Group","Names":"Sutter Medical Group of the Redwoods|Sutter Pacific Medical Foundation|Sutter West Bay Medical Group","Aliases":"4701|77304","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.sutterhealth.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MFNAG","PrimaryPayerId":"35245","DisplayName":"Marpai Health","Names":"Benefit Management Services|Continental Benefits|Maestro Health Plan|Marpai Administrators LLC|WellSystems LLC","Aliases":"14527|3226|35245|4918|56139|7278|GRIGK|INBMS|MARPAI|ZP1343","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.marpaihealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AGUZB","PrimaryPayerId":"20805","DisplayName":"Marrick Mement Finance","Names":"","Aliases":"20805|3555|6434","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.marrick.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QRDTG","PrimaryPayerId":"53275","DisplayName":"Martin's Point","Names":"Martin's Point Health Care|Martins Point Health Care","Aliases":"11045|1639|53275|53275MA|5701|MPHC1|MPHC2|MRTPH|Z1379","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"ME|NH","Programs":"MEDICARE|TRICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://martinspoint.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DAYTW","PrimaryPayerId":"12010","DisplayName":"Maryland Medicare Part A","Names":"","Aliases":"12010","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"MD","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZIJHE","PrimaryPayerId":"76498","DisplayName":"Maryland Physicians Care","Names":"","Aliases":"10693|22348|4068|76498|76498MC|8812|MDPHCR|MPCSA|XDUNB","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"MD","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.marylandphysicianscare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KLYNE","PrimaryPayerId":"BHOMD","DisplayName":"Maryland Public Behavioral Health System (PBHS)","Names":"Carelon Behavioral Health Maryland","Aliases":"2164|5976|BHOMD|OMDBH|VBXEQ","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"MD","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://maryland.carelonbh.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YTDBY","PrimaryPayerId":"37121","DisplayName":"Mashantucket Pequot Tribal Nation","Names":"Pequot Healthcare|Pequot Pharmaceutical Network","Aliases":"2818|37121|8976","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"CT","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.pequothealthcare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NLTAY","PrimaryPayerId":"86220","DisplayName":"Mass Advantage","Names":"","Aliases":"14432|6088|86220|9262","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"MA","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://massadvantage.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OGIPR","PrimaryPayerId":"04293","DisplayName":"Mass General Brigham Health Plan","Names":"Allways Health Partners|Neighborhood Health Plan","Aliases":"00291|04293|10377|5457|8588|CLSVQ|NBRHP|NGHBHP","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"ME|MA|NH|RI|VT","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://massgeneralbrighamhealthplan.org","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XLHIH","PrimaryPayerId":"J1689","DisplayName":"Massachusetts Bay Insurance Company","Names":"","Aliases":"J1689","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VXTVB","PrimaryPayerId":"BHOMA","DisplayName":"Massachusetts Behavioral Health Partnership","Names":"Carelon Behavioral Health|MBHP|Massachusetts Behavioral Health Partnership (Behavioral Health Organization)|ValueOptions Massachusetts Behavioral Health Partnership","Aliases":"00816|43307|4615|6127|9222|BHOMA|CVCIT","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"MA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://providers.masspartnership.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TLYHK","PrimaryPayerId":"ZP372","DisplayName":"Massachusetts Laborers' Benefit Funds","Names":"","Aliases":"1787|ZP372|ZP3729","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VFXSJ","PrimaryPayerId":"J1736","DisplayName":"Matheson Trucking","Names":"","Aliases":"J1736","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DIUFS","PrimaryPayerId":"TP075","DisplayName":"Matrix Absence Management","Names":"","Aliases":"TP075","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LMNRS","PrimaryPayerId":"MAVEN","DisplayName":"Maven Clinic","Names":"","Aliases":"MAVEN","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NVERY","PrimaryPayerId":"J1083","DisplayName":"Maxim Crane Works","Names":"","Aliases":"J1083","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OVDVG","PrimaryPayerId":"41193","DisplayName":"Mayo Clinic Recovery and Claims Services","Names":"","Aliases":"41193","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://connect.employees.mayo.edu","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MBXST","PrimaryPayerId":"83028","DisplayName":"MBA Benefit Administrators","Names":"CDO Technologies|MBA Benefits","Aliases":"5623|6258|83028","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://mbaadministrators.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SYRWS","PrimaryPayerId":"J1084","DisplayName":"McDonald's McOpCo","Names":"","Aliases":"J1084","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CQGQZ","PrimaryPayerId":"38338","DisplayName":"McLaren Community – Commercial HMO/POS","Names":"MHP Community (Commercial HMO)|McLaren Health Plan","Aliases":"2592|3794|38338|38338MA|MCLREN","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"IN|MI","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"RVEYS","ParentPayerGroupName":"McLaren Health Group","WebsiteUrl":"https://www.mclarenhealthplan.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CKBEY","PrimaryPayerId":"3833A","DisplayName":"McLaren Health Advantage","Names":"MHP|McLaren Health Advantage (PPO)|McLaren Health Plan","Aliases":"14308|3833A|6634|6735","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"MI","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.mclarenhealthplan.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PKBTE","PrimaryPayerId":"K7JVHL","DisplayName":"McLaren Health Plan (K7) - JVHL","Names":"Joint Venture Hospital Laboratory|McLaren Health Plan","Aliases":"4795|5929|JVHK7|K7JVHL|K7JVL","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"MI","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.jvhl.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZXZQO","PrimaryPayerId":"3833C","DisplayName":"McLaren Medicaid/Healthy Michigan Plan","Names":"Healthy Michigan Plan|MHP Medicaid|McLaren Medicaid|McLaren State of Michigan","Aliases":"3833C|3833M|6631|6732","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"MI","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.mclarenhealthplan.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YDCHJ","PrimaryPayerId":"3833R","DisplayName":"McLaren Medicare (MA)","Names":"MHP|McLaren Advantage SNP|McLaren Advantage Special Needs Plan|McLaren Health Plan","Aliases":"3833R|6637|6739","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.mclarenhealthplan.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZAGAR","PrimaryPayerId":"3833S","DisplayName":"McLaren Medicare Supplemental","Names":"MHP Community Medicare Supplement|McLaren Health Plan","Aliases":"3261|3833S|8542","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.mclarenhealthplan.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LZXKM","PrimaryPayerId":"65030","DisplayName":"MCNA Dental","Names":"Managed Care of North America","Aliases":"10885|14317|65030|BMIQI|MGDCA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"PA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.mcna.net","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OLFKO","PrimaryPayerId":"L0170","DisplayName":"MCS","Names":"MCS Healthcare Holdings|MCS Life Insurance Company|MCS Puerto Rico|Medical Card System","Aliases":"10952|1543|6197P|66039|6712|L0170|QFVIA|Z1419","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"ONE_CLICK","EligibilityInquiryEnrollmentTimeframe":"WEEKS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"66-0520918","CoverageTypes":"dental|medical|vision","OperatingStates":"PR","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://mcs.com.pr","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZLJUB","PrimaryPayerId":"MDAPN","DisplayName":"MD Anderson Physician Network","Names":"","Aliases":"MDAPN","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WZYJU","PrimaryPayerId":"MSCMG","DisplayName":"MD Senior Care Medical Group","Names":"","Aliases":"3730|9035|MSCMG","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://mdseniorcaremg.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QTZTE","PrimaryPayerId":"MDSAV","DisplayName":"MDsave","Names":"MDSave","Aliases":"3046|8295|MDSAV|MDSV","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.mdsave.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MZXPZ","PrimaryPayerId":"3135M","DisplayName":"MDwise (Healthy Indiana Plan)","Names":"MDwise|McLaren Health Plan","Aliases":"1086|3135M|8113","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"IN","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.mdwise.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MSPZI","PrimaryPayerId":"3519M","DisplayName":"MDwise (Hoosier Healthwise)","Names":"Hoosier HealthWise|Hoosier Healthwise|McLaren Health Plan","Aliases":"10598|1085|3519M|8112","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"IN","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.mdwise.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FDAVA","PrimaryPayerId":"11173","DisplayName":"MDWise Exchange","Names":"","Aliases":"11173","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FXQZU","PrimaryPayerId":"11172","DisplayName":"MDwise Healthy Indiana Plan","Names":"","Aliases":"11172","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IN","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SWIGZ","PrimaryPayerId":"MDADV","DisplayName":"MDwise Medicare Advantage","Names":"","Aliases":"2766|7935|MDADV|SX172","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VKQKG","PrimaryPayerId":"J1478","DisplayName":"Meadowbrook Insurance Group","Names":"","Aliases":"J1478","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JCBMC","PrimaryPayerId":"MPM16","DisplayName":"Med Point Management Prospect (MPM)","Names":"MedPOINT Management","Aliases":"6728|8693|MPM16","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medpointmanagement.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NPUWQ","PrimaryPayerId":"74323","DisplayName":"MedBen","Names":"Medical Benefits Mutual Life Insurance Company","Aliases":"10681|1728|74323|8513|MDBEN","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medben.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VUYNV","PrimaryPayerId":"MBMLF","DisplayName":"MedBen","Names":"Medical Benefits Administrators","Aliases":"MBMLF","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"31-1249371","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medben.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AYFYK","PrimaryPayerId":"31057","DisplayName":"MedCore Health Plan","Names":"MedCore HP|P3 Health Partners","Aliases":"31057|4266|8052","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://p3hp.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BHKCH","PrimaryPayerId":"56205","DisplayName":"MedCost","Names":"HPI|MedCost Benefit Services LLC|MedCost LLC|MedCost of North Carolina","Aliases":"56205|8974","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medcost.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XLFVC","PrimaryPayerId":"56162","DisplayName":"MedCost Benefit Services","Names":"HPI|MedCost Benefit Services LLC|MedCost LLC|Secure Health|Virginia Health Network","Aliases":"10272|1880|42561|5069|56162|6474|6533|9113|EDMWE|JHRHK|MEDCST","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"NC","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medcost.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PMQRY","PrimaryPayerId":"MQ027","DisplayName":"Medequip Inc","Names":"","Aliases":"9280|MQ027","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medequiportho.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PATGE","PrimaryPayerId":"95321","DisplayName":"MedFocus","Names":"","Aliases":"3765|95321","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JANDC","PrimaryPayerId":"94146","DisplayName":"Medi-Cal Dental","Names":"Denti-Cal|Dentical|Medicaid California (Dental)","Aliases":"94146","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"true","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"CA","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://dental.dhcs.ca.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XGNDF","PrimaryPayerId":"94265","DisplayName":"Medica","Names":"Medica|Medica (UnitedHealthcare)|Medica Dental|Medica Medicare Supplement","Aliases":"07031|10125|11029|14297|1431|8598|94265|94265M|94265MA|94265MC|CX026|HDVAU|MEDIC|MEPUB|WIMAN","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"AZ|IA|KS|MN|MO|NE|ND|OK|SD|WI|WY","Programs":"","PtanRequired":"false","ParentPayerGroupId":"FIVMG","ParentPayerGroupName":"UnitedHealth Group","WebsiteUrl":"https://partner.medica.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EQAHD","PrimaryPayerId":"MEDM1","DisplayName":"Medica Government Programs","Names":"Dean Health Plan BadgerCare Plus","Aliases":"14514|5012|8860|MEDGP|MEDM1","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://partner.medica.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IDKTK","PrimaryPayerId":"71890","DisplayName":"Medica Health Plan Solutions","Names":"","Aliases":"1032|11131|71890|7859|MHSRT","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://partner.medica.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MHQTR","PrimaryPayerId":"88090","DisplayName":"Medica Health Plan Solutions","Names":"Mayo Clinic FL/GA|Mayo Clinic Florida and Georgia|Mayo Clinic Health Solutions","Aliases":"2752|41154|7196|7577|8632|88090","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"FL|GA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://partner.medica.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RJQLO","PrimaryPayerId":"12422","DisplayName":"Medica Individual and Family","Names":"Medica2|Medica2 IFB","Aliases":"11171|12422|6694|6799|MEDIFB|Z95382","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"IA|KS|MN|MO|NE|ND|OK|WI","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medica.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NMSRE","PrimaryPayerId":"SKAL0","DisplayName":"Medicaid Alabama","Names":"Alabama Medicaid Agency","Aliases":"100005|10007|12K01|4479|5560|5587|75254|ALMCD|CKAL1|MCDAL|SKAL0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"AL","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://medicaid.alabama.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CKPXS","PrimaryPayerId":"SKAK0","DisplayName":"Medicaid Alaska","Names":"Alaska Department of Health|Alaska Medicaid Health Enterprise|Alaska Medical Assistance","Aliases":"11016|12K86|4489|5524|77200|AKMCD|CKAK1|SKAK0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"AK","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://extranet-sp.dhss.alaska.gov/hcs/medicaidalaska/Provider/Sites/ProviderResources.html","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BEUZA","PrimaryPayerId":"AZ","DisplayName":"Medicaid Arizona","Names":"AHCCCS|Arizona Health Care Cost Containment System","Aliases":"10021|12K02|38309|4405|5548|866004791|AZ|AZCCCS|AZMCD|DX156|SKAZ0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"86-6004791","CoverageTypes":"dental|medical","OperatingStates":"AZ","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.azahcccs.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BONSV","PrimaryPayerId":"ARMCD","DisplayName":"Medicaid Arkansas","Names":"Arkansas Department of Human Services|Arkansas Medicaid","Aliases":"10023|12023|1489|5597|716007869|ARMCD|CKAR1|SKAR0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"AR","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://humanservices.arkansas.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IAUKR","PrimaryPayerId":"100065","DisplayName":"Medicaid California Medi-Cal","Names":"California Medicaid (Medi-Cal)","Aliases":"100065|10055|1473|610442|CACAID|CAMCD|MC051|MDCAL|MPM18|SKCA0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"DAYS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"DAYS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"CA","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.dhcs.ca.gov/services/medi-cal/Pages/default.aspx","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RLTDR","PrimaryPayerId":"CTMCD","DisplayName":"Medicaid Connecticut","Names":"CTDSS|Connecticut Department of Social Services|Connecticut Home Care Program for Elders (CHCPE)|Connecticut Medicaid|Connecticut Medical Assistance Program|HUSKY Health Connecticut","Aliases":"06127|061274678|10067|12K04|2902|3535|4476|61274678|CKCT1|CTCAID|CTDSSMAP|CTMCD|SKCT0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"06-1274678","CoverageTypes":"dental|medical|vision","OperatingStates":"CT","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ctdssmap.com/CTPortal","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"COINY","PrimaryPayerId":"SKDE0","DisplayName":"Medicaid Delaware","Names":"DHSS|Delaware Health and Social Services|Delaware Medical Assistance","Aliases":"100371|10293|12K87|1545|2726|CKDE1|DECAID|DEMCD|DE_TXIX|HPXTB|SKDE0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"DE","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://medicaid.dhss.delaware.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HALVG","PrimaryPayerId":"DCMEDICAID","DisplayName":"Medicaid District of Columbia","Names":"DC Medicaid","Aliases":"100121|10078|12001|5550|77033|CKDC1|DCMCD|DCMEDICAID|SKDC0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"HOURS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"HOURS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"true","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"DC","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.dc-medicaid.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZDEIS","PrimaryPayerId":"77027","DisplayName":"Medicaid Florida","Names":"Florida Agency for Health Care Administration","Aliases":"10086|1478|1647|77027|CKFL1|FLCAID|FLCD1|FLMCD|SKFL0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"FL","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://ahca.myflorida.com/medicaid","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZYHEY","PrimaryPayerId":"GAMEDICAID","DisplayName":"Medicaid Georgia","Names":"Georgia DCH|Georgia Department of Community Health|Georgia Health Partnership|Georgia Medicaid","Aliases":"10088|12K05|1494|1499|3538|77034|CKGA1|GACAID|GAMCD|GAMEDICAID|SKGA0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"GA","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://medicaid.georgia.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UMKQD","PrimaryPayerId":"SKHI0","DisplayName":"Medicaid Hawaii","Names":"Hawai'i Department of Human Services|Hawaii Department of Human Services|Hawaii Medicaid|Med-QUEST|State of Hawaii Med-QUEST Division","Aliases":"2579|2715|CDRIX|HDSMH|HIMCD|MCDHI|SKHI0|TMCHI|ZHIFM","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"ONE_CLICK","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"OVER_4_WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"99-6001089","CoverageTypes":"dental|medical","OperatingStates":"HI","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://medquest.hawaii.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DQVQN","PrimaryPayerId":"ID","DisplayName":"Medicaid Idaho","Names":"Idaho Department of Health and Welfare|Idaho Medicaid|Medicaid of Idaho","Aliases":"10101|12K07|5583|7427|AIDID|CKID1|ID|IDCAID|IDMCD|SKID0|ZKID0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"true","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"ID","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.idmedicaid.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PACIU","PrimaryPayerId":"IL621","DisplayName":"Medicaid Illinois","Names":"Illinois Department of Healthcare and Family Services|Illinois Medicaid|Medicaid Illinois IDPA","Aliases":"10102|1563|2488|IL621|IL622|ILMCD|ILMCI|SKIL0|VWMIM","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"37-1320188","CoverageTypes":"dental|medical","OperatingStates":"IL","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://hfs.illinois.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GZVQX","PrimaryPayerId":"100171","DisplayName":"Medicaid Iowa","Names":"Iowa Department of Health and Human Services|Iowa HHS|Iowa Medicaid","Aliases":"100171|10107|1469|1665|18049|CKIA1|IACAID|IAMCD|SKIA0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"DAYS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"true","ClaimStatusInquiryEnrollmentType":"MULTI_STEP","ClaimStatusInquiryEnrollmentTimeframe":"DAYS","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"DAYS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"DAYS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"IA","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://hhs.iowa.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DSMST","PrimaryPayerId":"00005","DisplayName":"Medicaid Kansas","Names":"KDHE|KanCare|Kansas Department of Health and Environment","Aliases":"00005|10116|1485|299|5520|CKKS1|KSMCD|SKKS0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"48-1124839","CoverageTypes":"dental|medical|vision","OperatingStates":"KS","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.kdhe.ks.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TLJRV","PrimaryPayerId":"KYMEDICAID","DisplayName":"Medicaid Kentucky","Names":"Kentucky Medicaid","Aliases":"10117|12K11|1493|5535|AIDKY|CKKY1|KYCAID|KYMCD|KYMEDICAID|SKKY0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"KY","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.chfs.ky.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TYVLW","PrimaryPayerId":"100193","DisplayName":"Medicaid Louisiana","Names":"Healthy Louisiana|Louisiana Department of Health|Louisiana Medicaid Rehab|Medicaid Louisiana - Non-Emergency Transportation [.NAM]|Medicaid Louisiana - Rehabilitation [.REH]","Aliases":"100193|10118|10830|12K12|1475|3578|4604|BNIOV|CKLA1|LAMCD|LAREH|SKLA0|SKLA05|SKLA4|Z1057","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"LA","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.lamedicaid.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SHAHZ","PrimaryPayerId":"SKLA1","DisplayName":"Medicaid Louisiana Durable Medical Equipment","Names":"Healthy Louisiana|Louisiana Medicaid|Medicaid Louisiana DME","Aliases":"5232|SKLA1|Z1050","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"LA","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YSPCP","PrimaryPayerId":"100198","DisplayName":"Medicaid Maryland","Names":"Maryland Department of Health|Maryland Medicaid|Maryland Medicaid Administration","Aliases":"100198|10289|1488|526002033|A5260|CKMD1|EMVPZ|MCMD1|MD|MDCAID|MDMCD|QSLKR|SKMD0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"true","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"MD","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://health.maryland.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KWDBT","PrimaryPayerId":"DMA7384","DisplayName":"Medicaid Massachusetts","Names":"MassHealth|Medicaid of Massachusetts (Mass Health)","Aliases":"100199|10124|2905|4491|4492|5529I|70001|AID45|CKMA1|DMA7384|MACAID|MAMCD|PTFCR|SKMA0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"true","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"true","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"MA","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.mass.gov/topics/masshealth","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RFUPF","PrimaryPayerId":"D00111","DisplayName":"Medicaid Michigan","Names":"MDHHS|Michigan Department of Health and Human Services|Michigan Medicaid","Aliases":"10136|10392|12K37|2137|2480|383611960|4581|6109|CKMI1|D00111|MICAID|MIMCD|SKMI0|SKMI2","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"DAYS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"true","ClaimStatusInquiryEnrollmentType":"MULTI_STEP","ClaimStatusInquiryEnrollmentTimeframe":"DAYS","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"HOURS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"HOURS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"MI","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.michigan.gov/mdhhs/assistance-programs/medicaid","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BGVFZ","PrimaryPayerId":"SKMI1","DisplayName":"Medicaid Michigan - BC3NP","Names":"","Aliases":"1624|SKMI1","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.michigan.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RIKJV","PrimaryPayerId":"MCDMI","DisplayName":"Medicaid Michigan Encounters","Names":"","Aliases":"MCDMI","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JSZHK","PrimaryPayerId":"DPWMN","DisplayName":"Medicaid Minnesota","Names":"MN MA (MN-ITS)|Minnesota Department of Health|Minnesota Medicaid","Aliases":"10139|12K16|1468|1568|2437|6567|DPWMN|MCDMN|MNMCD|SKMN0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"WEEKS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"OVER_4_WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"MN","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://mn.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XQDJG","PrimaryPayerId":"CKMN1","DisplayName":"Medicaid Minnesota Dental","Names":"","Aliases":"CKMN1","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"true","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TZXRM","PrimaryPayerId":"100209","DisplayName":"Medicaid Mississippi","Names":"Mississippi Division of Medicaid","Aliases":"100209|10141|1490|2085|5557|77032|8233|CKMS1|MSCAID|MS_TXIX|SKMS0|SKMS0MA|ZBKZY","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"MS","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://medicaid.ms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IDQXI","PrimaryPayerId":"100211","DisplayName":"Medicaid Missouri","Names":"Missouri Department of Social Services|Missouri Medicaid","Aliases":"100211|10143|12K15|1471|431754897|5571|70029|CKMO1|MCDMO|MO|MOCAID|MOMCD|SKMO0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"MO","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://dss.mo.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MNQIA","PrimaryPayerId":"MT","DisplayName":"Medicaid Montana","Names":"Montana DPHHS|Montana Department of Public Health and Human Services|Montana Medicaid","Aliases":"100222|10147|12K77|4427|5586|CKMT1|MT|MTCAID|MTMCD|SKMT0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"MT","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://dphhs.mt.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FCJKG","PrimaryPayerId":"NV","DisplayName":"Medicaid Nevada","Names":"EVV State of Nevada (Medicaid FFS)|Nevada Department of Health and Human Services|Nevada Health Authority|Nevada Medicaid","Aliases":"10152|2907|7495|CKNV1|DHCFP|NV|NVMCD|NVMED|NVMMI|NVMMIS|SKNV0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"true","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NV","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medicaid.nv.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VLBIY","PrimaryPayerId":"100228","DisplayName":"Medicaid New Hampshire","Names":"New Hampshire Department of Health and Human Services","Aliases":"026000618|100228|10153|12K90|2575|7423|CKNH1|NHMCD|SKNH0|XXXNH","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"true","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"NH","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.dhhs.nh.gov/programs-services/medicaid","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MVZBO","PrimaryPayerId":"77048","DisplayName":"Medicaid New Mexico","Names":"New Mexico Health Care Authority|New Mexico Medicaid|Turquoise Claims","Aliases":"10247|12K22|1492|5562|77048|CKNM1|CNTNM|NM|NMMCD|SKNM0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"NM","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.hca.nm.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VNVDR","PrimaryPayerId":"MCDNY","DisplayName":"Medicaid New York","Names":"NYSDOH|New York State Department of Health|New York State Medicaid|eMedNY","Aliases":"00812|100231|10155|12K35|141797357|1422|1500|1501|1502|2429|6540|CKNY1|MCDNY|NYCAID|NYMCD|SKNY0|SKNY1","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"WEEKS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"true","ClaimStatusInquiryEnrollmentType":"MULTI_STEP","ClaimStatusInquiryEnrollmentTimeframe":"WEEKS","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"NY","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.emedny.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QKVBU","PrimaryPayerId":"NDDHS","DisplayName":"Medicaid North Dakota","Names":"North Dakota Department of Health and Human Services|North Dakota Medicaid","Aliases":"10157|1487|5594|CKND1|NDDHS|NDDHSMED|NDMCD|SKND0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"ND","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.hhs.nd.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SMZIL","PrimaryPayerId":"MMISODJFS","DisplayName":"Medicaid Ohio","Names":"OH Medicaid|Ohio Department of Medicaid|Ohio Medicaid","Aliases":"10158|14386|2481|3509|3509I|CKOH1|MMISODJFS|OHCAID|OHMCD|SKOH0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"OH","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://medicaid.ohio.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MOPSB","PrimaryPayerId":"SKOK0","DisplayName":"Medicaid Oklahoma","Names":"Oklahoma Health Care Authority|Oklahoma Medicaid|SoonerCare","Aliases":"10159|12K25|2753|3594|3639|3640|CKOK1|MC030|OHCA1|OKMCD|SKOK0|SKOK0E","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"OK","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://oklahoma.gov/ohca.html","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZRTGI","PrimaryPayerId":"AIDOR","DisplayName":"Medicaid Oregon","Names":"Medicaid Oregon (DHS Office of Medical Assistance Programs)|Medicaid Oregon (Department of Human Services Office of Medical Assistance Programs)|Oregon Health Authority|Oregon Health Plan|Oregon Medicaid","Aliases":"100237|10160|12K41|1481|2428|5517|930592162|AIDOR|CKOR1|OR-MMIS|ORDHS|ORMCD|SKOR0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"OR","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.oregon.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YNKWF","PrimaryPayerId":"236003113","DisplayName":"Medicaid Pennsylvania","Names":"Pennsylvania Medicaid|Pennsylvania Medical Assistance","Aliases":"10165|12008|1491|1605|236003113|5509|6845|CKPA1|PACAID|PAMCD|SKPA0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"PA","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.pa.gov/agencies/dhs/resources/medicaid","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BVKSO","PrimaryPayerId":"SKRI0","DisplayName":"Medicaid Rhode Island","Names":"Rhode Island Medicaid","Aliases":"056000522|11140|12K74|2405|6075|7421|CKRI1|RIMCD|SKRI0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"ONE_CLICK","ProfessionalClaimEnrollmentTimeframe":"DAYS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"ONE_CLICK","InstitutionalClaimEnrollmentTimeframe":"DAYS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"RI","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://dhs.ri.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SYOAO","PrimaryPayerId":"SCMED","DisplayName":"Medicaid South Carolina","Names":"Healthy Connections Medicaid|SCDHHS|South Carolina Department of Health and Human Services|South Carolina Medicaid","Aliases":"10179|12K55|5540|CKSC1|SCCAID|SCMCD|SCMED|SCMEDICAID|SCXIX|SKSC0|TPC11|ZPFUJ","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"true","ClaimStatusInquiryEnrollmentType":"MULTI_STEP","ClaimStatusInquiryEnrollmentTimeframe":"WEEKS","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"true","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"SC","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.scdhhs.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GTRFT","PrimaryPayerId":"SD","DisplayName":"Medicaid South Dakota","Names":"South Dakota Department of Social Services|South Dakota Medicaid","Aliases":"10180|12K36|4478|5591|SD|SD48MED|SDCAID|SDMCD|SKSD0|TLZ29","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"SD","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://dss.sd.gov/medicaid","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CRSWV","PrimaryPayerId":"TN","DisplayName":"Medicaid Tennessee","Names":"TennCare Medicaid","Aliases":"10184|626001445|SKTN1|TN","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"TN","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.tn.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FTZUM","PrimaryPayerId":"MC390","DisplayName":"Medicaid Tennessee BlueCare TennCare Select","Names":"Renaissance Medicaid|Tennessee Medicaid (BlueCare/TennCare)","Aliases":"12K46|2495|MC390|SB390|SB893|SB893MA|TNC02|TNCAID|TNMCD|UBVLT","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"ONE_CLICK","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"ONE_CLICK","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"TN","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RGZNL","PrimaryPayerId":"SKTX2","DisplayName":"Medicaid Texas (Long Term Care)","Names":"Medicaid Texas (LTC)|TMHP (LTC)|TMHP/Texas Medicaid & Health Partnership (LTC)","Aliases":"11208|12K96|2904|617591011CMSP|617591011CMST|617591011LTCPP|8202|SKTX1|SKTX2","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"WEEKS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"TX","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.tmhp.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MHBFC","PrimaryPayerId":"86916","DisplayName":"Medicaid Texas - Acute","Names":"Children with Special Healthcare Needs (CSHCN)|Medicaid Texas Health Steps|TMHP(Acute)|TMHP/Texas Medicaid & Health Partnership (Acute)","Aliases":"00350|1470|617591011C21P|617591011C21T|86916|CKTX1|ELOGE","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"TX","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.tmhp.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JAKSP","PrimaryPayerId":"10186","DisplayName":"Medicaid Texas - CHIP","Names":"Medicaid Texas MCNA Dental|TMHP/Texas Medicaid & Health Partnership (CHIP)|Texas Children's Health Plan","Aliases":"10186|1729|5500|6583|76048|MCNA1|MQMBR|SKTX0|TXCAID|TXCHIP|TXMCD","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"TX","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.hhs.texas.gov/services/health/medicaid-chip","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FUMOI","PrimaryPayerId":"SKVI0","DisplayName":"Medicaid United States Virgin Islands","Names":"U.S. Virgin Islands Department of Human Services|USVI Medicaid|VIDHS|Virgin Islands Medicaid","Aliases":"12K39|2505|6760|SKVI0","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"VI","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.vimmis.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NLWNP","PrimaryPayerId":"10648","DisplayName":"Medicaid Utah","Names":"Utah Department of Health and Human Services|Utah Medicaid","Aliases":"10648|12K42|1486|CKUT1|SKUT0|SKUT2|TNJBD|UDOH0|UTCAID|UTMCD","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"DAYS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"true","ClaimStatusInquiryEnrollmentType":"MULTI_STEP","ClaimStatusInquiryEnrollmentTimeframe":"DAYS","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"DAYS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"DAYS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"UT","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://medicaid.utah.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JQDVW","PrimaryPayerId":"6640","DisplayName":"Medicaid Utah Crossover","Names":"","Aliases":"6640|6801","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"true","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OYVLO","PrimaryPayerId":"100302","DisplayName":"Medicaid Vermont","Names":"Department of Vermont Health Access|Vermont Medicaid","Aliases":"100302|10197|12K26|3569|3570|7492|CKVT1|SKVM0|SKVT0|VERMONTGMC|VTMCD","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"VT","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.vtmedicaid.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QKPQU","PrimaryPayerId":"10198","DisplayName":"Medicaid Virginia","Names":"Cardinal Care|Virginia DMAS|Virginia Department of Medical Assistance Services|Virginia Medicaid","Aliases":"00913|10198|12003|1472|454|5538|7447|AIDVA|CKVA1|HGQHW|SKVA0|VACAID|VAMCD|VAMMIS","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"true","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"VA","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.dmas.virginia.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KCLFN","PrimaryPayerId":"AIDWA","DisplayName":"Medicaid Washington","Names":"Apple Health|Medicaid Washington (ProviderOne)|Washington Apple Health|Washington Medicaid|Washington State Department of Social and Health Services|Washington State Health Care Authority","Aliases":"10424|12K27|1482|2432|5523|6553|77045|916001088|AIDWA|CKWA1|SKWA0|WACAID|WAMCD","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"HOURS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"HOURS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"WA","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.hca.wa.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RFCNY","PrimaryPayerId":"100306","DisplayName":"Medicaid Wisconsin","Names":"BadgerCare|Wisconsin Department of Health Services|Wisconsin ForwardHealth","Aliases":"100306|10202|10453|1467|5510|CKWI1|SKWI0|SKWI2|WIMCD|WISC_TXIX","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"WI","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.dhs.wisconsin.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FRTBO","PrimaryPayerId":"77046","DisplayName":"Medicaid Wyoming","Names":"Wyoming Department of Health|Wyoming Medicaid","Aliases":"100307|10204|12K30|2577|7458|77046|CKWY1|SKWY0|WY|WYCAID|WYMCD","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"HOURS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"HOURS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"true","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"WY","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://health.wyo.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TXZQC","PrimaryPayerId":"MASHP","DisplayName":"Medical Associates Health Plan Health Choices","Names":"","Aliases":"10683|MASHP","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"IA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.mahealthplans.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OSWAN","PrimaryPayerId":"MAHC1","DisplayName":"Medical Associates Health Plans","Names":"Health Choices","Aliases":"00439|1928|2772|MAHC1|MAHP1|Z1269|Z1269MA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"IL|IA|WI","Programs":"COMMERCIAL|MEDICARE","PtanRequired":"false","ParentPayerGroupId":"BQDTN","ParentPayerGroupName":"Medical Associates Group","WebsiteUrl":"https://www.mahealthplans.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UMFCS","PrimaryPayerId":"9043P","DisplayName":"Medical Control","Names":"","Aliases":"9043P","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WQBKX","PrimaryPayerId":"MDWI00","DisplayName":"Medical Home Network","Names":"","Aliases":"1788|MDWI00","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NRNBT","PrimaryPayerId":"29076","DisplayName":"Medical Mutual","Names":"Consumer's Life|Medical Mutual of Ohio","Aliases":"10126|10911|14458|29076|31117|3506|4423|9753|CB833|MMPHX|MMUTOH|SX057|SX057MA|TLU03|TNXLZ|TSTMED","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"OH|WI","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medmutual.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TZLZV","PrimaryPayerId":"CSMED","DisplayName":"Medical Network of Colorado Springs","Names":"","Aliases":"CSMED","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZKLTN","PrimaryPayerId":"MOI01","DisplayName":"Medical Outcome Indicators","Names":"","Aliases":"MOI01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://beyondcare.us","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BFXWB","PrimaryPayerId":"12057","DisplayName":"Medical Service Initiative Orange County","Names":"","Aliases":"12057|2707|7580","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ochealthinfo.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LPZOI","PrimaryPayerId":"J1641","DisplayName":"Medical Transport Solutions","Names":"Medical Transportation Services","Aliases":"J1641","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OAFDL","PrimaryPayerId":"11000","DisplayName":"Medicare Advantage Pennsylvania","Names":"","Aliases":"11000|BCHSC|Z96299","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"PA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.pa.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QDNGA","PrimaryPayerId":"10111","DisplayName":"Medicare Alabama Part A","Names":"Palmetto GBA (PGBA) - Alabama","Aliases":"10111|5559","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"AL","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MNFSB","PrimaryPayerId":"10112","DisplayName":"Medicare Alabama Part B","Names":"Alabama Medicare|Palmetto GBA (PGBA) - Alabama","Aliases":"10112|2468|ALMCR|CMSEL|IMAL0|SMAL0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"AL","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"STSYW","PrimaryPayerId":"02001","DisplayName":"Medicare Alaska Part A","Names":"Medicare Idaho Part A|Medicare Oregon Part A|Medicare Washington Part A|Noridian (NHS) - Alaska","Aliases":"02001|5515|5521|5581|IMAK0|IMOR0|IMWA0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"DAYS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"AK","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QXBAU","PrimaryPayerId":"02102","DisplayName":"Medicare Alaska Part B","Names":"Noridian (NHS) - Alaska","Aliases":"02102|1455|AKMCR|SMAK0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"DAYS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"AK","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QXGSI","PrimaryPayerId":"01211","DisplayName":"Medicare American Samoa Part A","Names":"Medicare Guam Part A|Medicare Hawaii Part A|Medicare Northern Marianas Part A|Noridian (NHS) - American Samoa","Aliases":"01211|5567|IMHI0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"DAYS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"AS","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IKWOZ","PrimaryPayerId":"01212","DisplayName":"Medicare American Samoa Part B","Names":"Medicare Guam Part B|Medicare Hawaii Part B|Medicare Northern Marianas Part B|Noridian (NHS) - American Samoa","Aliases":"01212|2467|HIMCR|SMHI0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"DAYS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"AS","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YVXRL","PrimaryPayerId":"03101","DisplayName":"Medicare Arizona Part A","Names":"Noridian (NHS) - Arizona","Aliases":"03101|12M02|5546","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"DAYS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"AZ","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NXLKN","PrimaryPayerId":"03102","DisplayName":"Medicare Arizona Part B","Names":"Arizona Medicare|Noridian (NHS) - Arizona","Aliases":"03102|1456|AZMCR|IMAZ0|SMAZ0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"DAYS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"AZ","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DYJPM","PrimaryPayerId":"07101","DisplayName":"Medicare Arkansas Part A","Names":"Arkansas Medicare|Novitas - Arkansas","Aliases":"07101|12022|1526|IMAR0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"AR","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CMNAM","PrimaryPayerId":"07102","DisplayName":"Medicare Arkansas Part B","Names":"Novitas - Arkansas","Aliases":"07102|2161|2455|ARMCR|SMAR0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"AR","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KQAFV","PrimaryPayerId":"01111","DisplayName":"Medicare California Part A","Names":"Noridian (NHS) - California","Aliases":"01111|3508|IMCA0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"DAYS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"CA","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GJRLA","PrimaryPayerId":"04111","DisplayName":"Medicare Colorado Part A","Names":"Novitas - Colorado","Aliases":"04111|1547|4917|IMCO0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CO","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XLJWK","PrimaryPayerId":"04112","DisplayName":"Medicare Colorado Part B","Names":"Novitas - Colorado","Aliases":"04102|04112|1449|2162|COMCR|MR004|SMCO0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"CO","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EVDRA","PrimaryPayerId":"13101","DisplayName":"Medicare Connecticut Part A","Names":"National Government Services (NGS) - Connecticut","Aliases":"12M04|13101|4966|IMCT0|JIMCT0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CT","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NSFWX","PrimaryPayerId":"13102","DisplayName":"Medicare Connecticut Part B","Names":"Connecticut Medicare|National Government Services (NGS) - Connecticut","Aliases":"13102|1452|2223|CTMCR|JSMCT0|SMCT0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"CT","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BPTLV","PrimaryPayerId":"12M76","DisplayName":"Medicare Delaware Part A","Names":"Novitas - Delaware","Aliases":"12M76|IMDE0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"DE","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LZYHP","PrimaryPayerId":"00902","DisplayName":"Medicare Delaware Part B","Names":"Novitas - Delaware","Aliases":"00902|12102|2163|2456|CSQTM|SMDE0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"DE","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TGSPY","PrimaryPayerId":"12301","DisplayName":"Medicare District of Columbia Part A","Names":"Medicare Maryland Part A|Medicare Washington D.C. Part A|Novitas - District of Columbia","Aliases":"12301|IMDC0|IMMD0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"DC","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BRFCA","PrimaryPayerId":"12M63","DisplayName":"Medicare District of Columbia Part A (J12 Highmark)","Names":"Novitas - District of Columbia","Aliases":"12M63","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RTSOF","PrimaryPayerId":"SMDC0","DisplayName":"Medicare District of Columbia Part B","Names":"Medicare District of Columbia Part B (J12 Highmark)|Medicare Washington D.C. Part B|Novitas - District of Columbia","Aliases":"00903|2459|CYRPI|SMDC0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"DC","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GSYBW","PrimaryPayerId":"16013","DisplayName":"Medicare Durable Medical Equipment Regional Carrier Jurisdiction A","Names":"Medicare DME MAC Jurisdiction A|Medicare Durable Medical Equipment Regional Carrier Region A|Noridian Healthcare Solutions","Aliases":"16013|2209|4229|7475|DMERA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"CT|DE|ME|MD|MA|NH|NJ|PA|RI|VT|DC","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BOLYO","PrimaryPayerId":"17013","DisplayName":"Medicare Durable Medical Equipment Regional Carrier Jurisdiction B","Names":"CGS Administrators|Medicare DME MAC Jurisdiction B|Medicare Durable Medical Equipment Regional Carrier (DMERC) Region B","Aliases":"17013|2211|4230|7476|DMERB|SDMEB","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"IL|IN|KY|MI|MN|OH|WI","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SLOBP","PrimaryPayerId":"18003","DisplayName":"Medicare Durable Medical Equipment Regional Carrier Jurisdiction C","Names":"CGS Administrators|Medicare DME MAC Jurisdiction C|Medicare Durable Medical Equipment Regional Carrier Region C","Aliases":"18003|2213|4231|7477|C00885|DMERC|ULUSX","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"AL|AR|CO|FL|GA|LA|MS|NM|NC|OK|SC|TN|TX|VA|WV|PR|VI","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WXJCK","PrimaryPayerId":"19003","DisplayName":"Medicare Durable Medical Equipment Regional Carrier Jurisdiction D","Names":"Medicare DME MAC Jurisdiction D|Medicare Durable Medical Equipment Regional Carrier Region D|Noridian Healthcare Solutions","Aliases":"19003|2215|4232|7478|DMERD|SDMED","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"AK|AZ|CA|HI|ID|IA|KS|MO|MT|NE|NV|ND|OR|SD|UT|WA|WY|GU|AS|MP","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YTYFJ","PrimaryPayerId":"09101","DisplayName":"Medicare Florida Part A","Names":"First Coast (FCSO) - Florida","Aliases":"09101|12M34|3518|4951|IMFL0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"FL","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CAUMJ","PrimaryPayerId":"09102","DisplayName":"Medicare Florida Part B","Names":"First Coast (FCSO) - Florida","Aliases":"09102|1448|FLMCR|SMFL0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"FL","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WGMHE","PrimaryPayerId":"10211","DisplayName":"Medicare Georgia Part A","Names":"Palmetto GBA (PGBA) - Georgia","Aliases":"10211|IMGA0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"GA","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UHKGD","PrimaryPayerId":"SMGA0","DisplayName":"Medicare Georgia Part B","Names":"Medicare Georgia Part B (Jurisdiction 10 Cahaba)|Palmetto GBA (PGBA) - Georgia","Aliases":"10212|1466|GAMCR|SMGA0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"GA","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DPYNI","PrimaryPayerId":"15004","DisplayName":"Medicare Home Health and Hospice J15","Names":"CGS Administrators|Medicare HH+H Jurisdiction 15","Aliases":"15004|1987","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"CO|DE|IA|KS|MD|MO|MT|NE|ND|PA|SD|UT|VA|WV|WY|DC","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QBXYK","PrimaryPayerId":"12M07","DisplayName":"Medicare Idaho Part A","Names":"","Aliases":"12M07","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"ID","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LPNBE","PrimaryPayerId":"02202","DisplayName":"Medicare Idaho Part B","Names":"Idaho Medicare|Noridian (NHS) - Idaho","Aliases":"02202|2465|IDMCR|SMID0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"DAYS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"ID","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MCSFT","PrimaryPayerId":"06101","DisplayName":"Medicare Illinois Part A","Names":"Wisconsin Physicians Service (WPS) - Illinois","Aliases":"06101|IMIL0|JIMIL0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IL","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SRIZO","PrimaryPayerId":"06102","DisplayName":"Medicare Illinois Part B","Names":"Wisconsin Physicians Service (WPS) - Illinois","Aliases":"06102|1437|2224|4971|5506|ILMCR|JSMIL0|SMIL0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"ONE_CLICK","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"IL","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MDLYF","PrimaryPayerId":"12M09","DisplayName":"Medicare Indiana Part A","Names":"","Aliases":"08101|12M09|3500|3975|IMIN0|JIMIN0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IN","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LQDAQ","PrimaryPayerId":"SMIN0","DisplayName":"Medicare Indiana Part B","Names":"MEDICARE INDIANA PART B (WPS)|Medicare Indiana Part B (J8)|Wisconsin Physicians Service (WPS) - Indiana","Aliases":"08102|1445|1898|INMCR|JSMIN0|SMIN0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"IN","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GCJYI","PrimaryPayerId":"05101","DisplayName":"Medicare Iowa Part A","Names":"Medicare Iowa Part A (Wisconsin Physicians Service)|Wisconsin Physicians Service (WPS) - Iowa","Aliases":"05101|2537|3976|IMIA1|JIMIA1","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IA","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GFWMT","PrimaryPayerId":"SMIA0","DisplayName":"Medicare Iowa Part B","Names":"Medicare Iowa Part B (J5 Wisconsin Physicians Service)|Wisconsin Physicians Service (WPS) - Iowa|Wisconsin Physicians Service (WPS) - Wisconsin","Aliases":"05102|1438|2101|IAMCR|JSMIA0|SMIA0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IA","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WJZXT","PrimaryPayerId":"05201","DisplayName":"Medicare Kansas Part A","Names":"Medicare Kansas Part A Wisconsin Physicians Service|Wisconsin Physicians Service (WPS) - Kansas","Aliases":"05201|5518|IMKS0|JIMKS0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"KS","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IDLNG","PrimaryPayerId":"05202","DisplayName":"Medicare Kansas Part B","Names":"Medicare Kansas|Wisconsin Physicians Service (WPS) - Kansas","Aliases":"05202|2107|2463|JSMKS0|KSMCR|SMKS0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"KS","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QULHI","PrimaryPayerId":"15101","DisplayName":"Medicare Kentucky Part A","Names":"CGS Administrators - Kentucky|Medicare Kentucky Part A (Jurisdiction 15)","Aliases":"15101|5533|IMKY0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"KY","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CJGTG","PrimaryPayerId":"15102","DisplayName":"Medicare Kentucky Part B","Names":"CGS Administrators - Kentucky|Medicare Kentucky Part B (J15)","Aliases":"15102|2462|KYMCR|SMKY0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"KY","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TMWMR","PrimaryPayerId":"07201","DisplayName":"Medicare Louisiana Part A","Names":"Novitas - Louisiana","Aliases":"07201|3579|4922|IMLA0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"LA","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TIUDR","PrimaryPayerId":"07202","DisplayName":"Medicare Louisiana Part B","Names":"Novitas - Louisiana","Aliases":"07202|1460|2171|LAMCR|SMLA0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"LA","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HJHTJ","PrimaryPayerId":"14011","DisplayName":"Medicare Maine Part A","Names":"Medicare Home Health and Hospice Part A","Aliases":"12M13|14011|1640|3547|5504|5918|IMME0|JIMME0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"ME","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OIAQK","PrimaryPayerId":"14112","DisplayName":"Medicare Maine Part B","Names":"Maine Medicare|National Government Services (NGS) - Maine","Aliases":"14112|2225|2472|JSMME0|MEMCR|SMME0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"ME","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TPDAP","PrimaryPayerId":"SMMD0","DisplayName":"Medicare Maryland Part B","Names":"Maryland Medicare|Novitas - Maryland","Aliases":"00901|12302|2201|2464|4930|5554|7402|SMMD0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"MD","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JSYAJ","PrimaryPayerId":"14211","DisplayName":"Medicare Massachusetts Part A","Names":"National Government Services (NGS) - Massachusetts","Aliases":"12M14|14211|5527|5592|IMMA0|JIMMA0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"MA","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UFMAP","PrimaryPayerId":"14212","DisplayName":"Medicare Massachusetts Part B","Names":"Massachusetts Medicare|National Government Services (NGS) - Massachusetts","Aliases":"14212|2229|2469|5527I|JSMMA0|MAMCR|SMMA0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"MA","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RCAEQ","PrimaryPayerId":"08201","DisplayName":"Medicare Michigan Part A","Names":"Wisconsin Physicians Service (WPS) - Michigan","Aliases":"08201|3515|3972|IMMI0|JIMMI0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"MI","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VXUHI","PrimaryPayerId":"08202","DisplayName":"Medicare Michigan Part B","Names":"Wisconsin Physicians Service (WPS) - Michigan","Aliases":"00953|08202|1461|1895|JSMMI0|MIMCR|SMMI0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"MI","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"USFXM","PrimaryPayerId":"06201","DisplayName":"Medicare Minnesota Part A","Names":"Wisconsin Physicians Service (WPS) - Minnesota","Aliases":"06201|3521|5641|IMMN0|JIMMN0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"MN","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KALXB","PrimaryPayerId":"06202","DisplayName":"Medicare Minnesota Part B","Names":"Wisconsin Physicians Service (WPS) - Minnesota","Aliases":"06202|1435|2230|JSMMN0|MNMCR|SMMN0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"MN","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GHWHB","PrimaryPayerId":"12M17","DisplayName":"Medicare Mississippi Part A","Names":"Mississippi Medicare Part A Jurisdiction 7 (J7)","Aliases":"12M17|IMMS0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"MS","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QKTGS","PrimaryPayerId":"07302","DisplayName":"Medicare Mississippi Part B","Names":"Novitas - Mississippi","Aliases":"07302|2203|2451|MSMCR|SMMS0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"MS","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WBJEH","PrimaryPayerId":"05301","DisplayName":"Medicare Missouri Part A","Names":"Wisconsin Physicians Service (WPS) - Missouri","Aliases":"05301|3997|5572|IMMO0|JIMMO0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"MO","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BJFUD","PrimaryPayerId":"05302","DisplayName":"Medicare Missouri Part B","Names":"Medicare Missouri Part B (J5 WPS)|Wisconsin Physicians Service (WPS) - Missouri","Aliases":"05302|1441|2120|4451|JSMMO0|KCMCR|MOMCR|MWMCR|SMMO0|SMMO2","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"MO","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZRTZP","PrimaryPayerId":"03201","DisplayName":"Medicare Montana Part A","Names":"Noridian (NHS) - Montana","Aliases":"03201|12M77|5584|IMMT0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"DAYS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"MT","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FVZBQ","PrimaryPayerId":"03202","DisplayName":"Medicare Montana Part B","Names":"Montana Medicare|Noridian (NHS) - Montana","Aliases":"03202|7400|MTMCR|SMMT0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"DAYS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"MT","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WMAUJ","PrimaryPayerId":"05401","DisplayName":"Medicare Nebraska Part A","Names":"Wisconsin Physicians Service (WPS) - Nebraska","Aliases":"05401|1519|4502|IMNE0|JIMNE0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NE","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IAONR","PrimaryPayerId":"SMNE0","DisplayName":"Medicare Nebraska Part B","Names":"Medicare Nebraska Part B (J5 WPS)|Wisconsin Physicians Service (WPS) - Nebraska","Aliases":"05402|1451|2127|JSMNE0|NEMCR|SMNE0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NE","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZJBQJ","PrimaryPayerId":"01311","DisplayName":"Medicare Nevada Part A","Names":"Noridian (NHS) - Nevada","Aliases":"01311|5907|IMNV0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"DAYS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NV","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MERIG","PrimaryPayerId":"01312","DisplayName":"Medicare Nevada Part B","Names":"Noridian (NHS) - Nevada","Aliases":"01312|1446|NVMCR|SMNV0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"DAYS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NV","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZBGSE","PrimaryPayerId":"14013","DisplayName":"Medicare New Hampshire Part A","Names":"Medicare Vermont Part A|National Government Services (NGS) - New Hampshire","Aliases":"12M21|14013|2528|5644|5954|5963|IMNH0|JIMNH0|Z96396","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NH","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WVLKL","PrimaryPayerId":"14312","DisplayName":"Medicare New Hampshire Part B","Names":"National Government Services (NGS) - New Hampshire|New Hampshire Medicare","Aliases":"14312|2237|2470|JSMNH0|NHMCR|SMNH0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NH","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SVSVW","PrimaryPayerId":"12005","DisplayName":"Medicare New Jersey Part A","Names":"NJ Medicare Part A (J12 - Highmark)|New Jersey Medicare Part A J12 (12005)|Novitas - New Jersey","Aliases":"12005|12401|4938|5503|IMNJ0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NJ","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ICNFI","PrimaryPayerId":"12402","DisplayName":"Medicare New Jersey Part B","Names":"Novitas - New Jersey","Aliases":"12402|1465|2205|NJMCR|SMNJ0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NJ","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GLGPZ","PrimaryPayerId":"04211","DisplayName":"Medicare New Mexico Part A","Names":"Novitas - New Mexico","Aliases":"04211|12M22|4937|5566|IMNM0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NM","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FRNPY","PrimaryPayerId":"04212","DisplayName":"Medicare New Mexico Part B","Names":"Novitas - New Mexico","Aliases":"04212|1457|2204|NMMCR|SMNM0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NM","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FAKJR","PrimaryPayerId":"13202","DisplayName":"Medicare New York Downstate","Names":"","Aliases":"13202|2244|4442","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NY","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MQYDS","PrimaryPayerId":"13201","DisplayName":"Medicare New York Part A","Names":"National Government Services (NGS) - New York","Aliases":"13201|3519|5902|IMNY0|JIMNY0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NY","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XTAEG","PrimaryPayerId":"13292","DisplayName":"Medicare New York Part B Queens","Names":"National Government Services (NGS) - New York","Aliases":"13292|2260|7401|N2MCR","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NY","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LQOTI","PrimaryPayerId":"13282","DisplayName":"Medicare New York Part B Upstate","Names":"National Government Services (NGS) - New York","Aliases":"13282|1463|2261|JSB807|JSMNY0|JSMNY2|N1MCR|NYMCR|SB807|SMNY0|SMNY2","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NY","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GWZEU","PrimaryPayerId":"11501","DisplayName":"Medicare North Carolina Part A","Names":"Palmetto GBA (PGBA) - North Carolina","Aliases":"11501|3563|IMNC0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NC","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FIEWT","PrimaryPayerId":"11502","DisplayName":"Medicare North Carolina Part B","Names":"Palmetto GBA (PGBA) - North Carolina","Aliases":"11502|1464|NCMCR|QJIDK|SMNC0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NC","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QPABL","PrimaryPayerId":"03301","DisplayName":"Medicare North Dakota Part A","Names":"Noridian (NHS) - North Dakota","Aliases":"03301|1523|IMND0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"DAYS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"ND","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BHTSB","PrimaryPayerId":"03302","DisplayName":"Medicare North Dakota Part B","Names":"Noridian (NHS) - North Dakota","Aliases":"03302|2453|NDMCR|SMND0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"DAYS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"ND","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FGFQV","PrimaryPayerId":"CNMCR","DisplayName":"Medicare Northern California Part A","Names":"","Aliases":"CNMCR","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GRAQC","PrimaryPayerId":"01112","DisplayName":"Medicare Northern California Part B","Names":"Noridian (NHS) - California|Northern California Medicare","Aliases":"01112|1436|MR001|SMCA1","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"DAYS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"CA","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZOSRB","PrimaryPayerId":"15201","DisplayName":"Medicare Ohio Part A","Names":"CGS Administrators - Ohio","Aliases":"15201|3507|IMOH0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"OH","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BCINK","PrimaryPayerId":"15202","DisplayName":"Medicare Ohio Part B","Names":"CGS Administrators - Ohio","Aliases":"1447|15202|OHMCR|SMOH0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"OH","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QMCZY","PrimaryPayerId":"04311","DisplayName":"Medicare Oklahoma Part A","Names":"Novitas - Oklahoma","Aliases":"04311|1558|4942|IMOK0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"OK","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AZMFS","PrimaryPayerId":"04312","DisplayName":"Medicare Oklahoma Part B","Names":"Novitas - Oklahoma","Aliases":"04312|1458|2206|OKMCR|SMOK0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"OK","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MDCKC","PrimaryPayerId":"12M41","DisplayName":"Medicare Oregon Part A","Names":"","Aliases":"12M41","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"OR","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KQRYC","PrimaryPayerId":"02302","DisplayName":"Medicare Oregon Part B","Names":"Noridian (NHS) - Oregon|Oregon Medicare","Aliases":"02302|1459|ORMCR|SMOR0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"DAYS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"OR","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XFSMX","PrimaryPayerId":"04911","DisplayName":"Medicare Part A J04911","Names":"","Aliases":"04911|3650|4903","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WLCDW","PrimaryPayerId":"12M88","DisplayName":"Medicare Part A Legacy WPS (Colorado New Mexico Texas Oklahoma)","Names":"Colorado Medicare|Medicare Part A Legacy Wisconsin Physicians Service (Colorado, New Mexico, Texas, Oklahoma)|Novitas - New Mexico|Novitas - Texas","Aliases":"12M88","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"CO|NM|OK|TX","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OMSGY","PrimaryPayerId":"12501","DisplayName":"Medicare Pennsylvania Part A","Names":"","Aliases":"12501|4944|5598|IMPA0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"PA","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WBHXR","PrimaryPayerId":"12502","DisplayName":"Medicare Pennsylvania Part B","Names":"","Aliases":"12502|2207|2457|PAMCR|SMPA0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"PA","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WGJSF","PrimaryPayerId":"12M49","DisplayName":"Medicare Puerto Rico Part A","Names":"First Coast (FCSO) - Puerto Rico","Aliases":"12M49|46010","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"PR","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KXVQE","PrimaryPayerId":"SMPR0","DisplayName":"Medicare Puerto Rico Part B","Names":"First Coast (FCSO) - Puerto Rico","Aliases":"09202|2220|2785|SMPR0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"PR","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PJQXO","PrimaryPayerId":"00882","DisplayName":"Medicare Railroad","Names":"Palmetto GBA Railroad Medicare","Aliases":"00882|1443|C00882|RRWMC|SRRGA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NATIONAL","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VLGVP","PrimaryPayerId":"14411","DisplayName":"Medicare Rhode Island Part A","Names":"National Government Services (NGS) - Rhode Island","Aliases":"12M74|14411|5941|IMRI0|JIMRI0|MSCJS","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"RI","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OXYGY","PrimaryPayerId":"14412","DisplayName":"Medicare Rhode Island Part B","Names":"National Government Services (NGS) - Rhode Island","Aliases":"14412|2268|7419|JSMRI0|RIMCR|SMRI0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"RI","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IJDJL","PrimaryPayerId":"11001","DisplayName":"Medicare South Carolina Part A","Names":"Medicare Part A Home Health and Hospice Palmetto","Aliases":"11001|12M55|5544","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"SC","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KIZWB","PrimaryPayerId":"SMSC0","DisplayName":"Medicare South Carolina Part B","Names":"Palmetto GBA (PGBA) - South Carolina|South Carolina Medicare","Aliases":"11202|1484|2452|SCMCR|SMSC0|XMEDX","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"SC","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KHTHW","PrimaryPayerId":"03401","DisplayName":"Medicare South Dakota Part A","Names":"Noridian (NHS) - South Dakota|South Dakota Medicare","Aliases":"03401|12M83|5589|IMSD0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"DAYS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"SD","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"URZPH","PrimaryPayerId":"03402","DisplayName":"Medicare South Dakota Part B","Names":"Noridian (NHS) - South Dakota","Aliases":"03402|2454|SDMCR|SMSD0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"DAYS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"SD","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TXZWZ","PrimaryPayerId":"01182","DisplayName":"Medicare Southern California Part B","Names":"Noridian (NHS) - California|Southern California Medicare","Aliases":"01182|1444|CSMCR|MR002|SMCA2","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"DAYS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"CA","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YOGXD","PrimaryPayerId":"12M53","DisplayName":"Medicare Tennessee Part A","Names":"Medicare Tennessee Part A (Cahaba)|Palmetto GBA (PGBA) - Tennessee","Aliases":"12M53|IMTN0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TN","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AMCKE","PrimaryPayerId":"SMTN0","DisplayName":"Medicare Tennessee Part B","Names":"Medicare Tennessee Part B (Cahaba)|Palmetto GBA (PGBA) - Tennessee","Aliases":"10312|1453|SMTN0|TNMCR","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"TN","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YJLIC","PrimaryPayerId":"04411","DisplayName":"Medicare Texas Part A","Names":"Novitas - Texas","Aliases":"04411|4946|5502|IMTX0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"TX","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TPTWE","PrimaryPayerId":"04412","DisplayName":"Medicare Texas Part B","Names":"Novitas - Texas","Aliases":"04412|1440|SMTX0|TXMCR","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"TX","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TDHFP","PrimaryPayerId":"03501","DisplayName":"Medicare Utah Part A","Names":"Noridian (NHS) - Utah","Aliases":"03501|1527|IMUT0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"DAYS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"UT","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VEHYM","PrimaryPayerId":"03502","DisplayName":"Medicare Utah Part B","Names":"Noridian (NHS) - Utah|Utah Medicare","Aliases":"03502|2458|SMUT0|UTMCR","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"DAYS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"UT","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NBREY","PrimaryPayerId":"12M26","DisplayName":"Medicare Vermont Part A","Names":"","Aliases":"12M26","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"VT","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FQEQC","PrimaryPayerId":"14512","DisplayName":"Medicare Vermont Part B","Names":"National Government Services (NGS) - Vermont|Vermont Medicare","Aliases":"14512|2278|2471|JSMVT0|SMVT0|VTMCR","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"VT","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YEFDW","PrimaryPayerId":"5094","DisplayName":"Medicare Virgin Islands Part A","Names":"Medicare Virgin Islands Part A|Virgin Islands Medicare","Aliases":"12M52|4487|5094","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"VI","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GDYAL","PrimaryPayerId":"09302","DisplayName":"Medicare Virgin Islands Part B","Names":"","Aliases":"09203|09302|SMVI0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"VI","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ACIRL","PrimaryPayerId":"11003","DisplayName":"Medicare Virginia Part A","Names":"Medicare West Virginia Part A|Palmetto GBA (PGBA) - Virginia","Aliases":"11003|5530|5536|IMVA0|IMWV0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"VA","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PWITK","PrimaryPayerId":"11302","DisplayName":"Medicare Virginia Part B","Names":"Palmetto GBA (PGBA) - Virginia","Aliases":"11302|1442|SMVA0|VAMCR","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"VA","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GYNUK","PrimaryPayerId":"02402","DisplayName":"Medicare Washington Part B","Names":"Noridian (NHS) - Washington","Aliases":"02402|1462|SMWA0|WAMCR","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"DAYS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"WA","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TPSZW","PrimaryPayerId":"12M28","DisplayName":"Medicare West Virginia Part A","Names":"","Aliases":"12M28","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"WV","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DYOQK","PrimaryPayerId":"11402","DisplayName":"Medicare West Virginia Part B","Names":"Palmetto GBA (PGBA) - Virginia","Aliases":"11402|1450|SMWV0|WVMCR","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"WV","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YUPFH","PrimaryPayerId":"06001","DisplayName":"Medicare Wisconsin Part A","Names":"Wisconsin Physicians Service (WPS) - Wisconsin","Aliases":"06001|12M29|1505|5512|5966|IMWI0|JIMWI0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"WI","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OJIZF","PrimaryPayerId":"06302","DisplayName":"Medicare Wisconsin Part B","Names":"Wisconsin Medicare|Wisconsin Physicians Service (WPS) - Wisconsin","Aliases":"06302|1434|2288|JSMWI0|SMWI0|WIMCR","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"WI","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JHQOJ","PrimaryPayerId":"03601","DisplayName":"Medicare Wyoming Part A","Names":"Noridian (NHS) - Wyoming","Aliases":"03601|3583|IMWY0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"DAYS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"WY","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IQBSM","PrimaryPayerId":"03602","DisplayName":"Medicare Wyoming Part B","Names":"Noridian (NHS) - Wyoming","Aliases":"03602|2466|SMWY0|WYMCR","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"DAYS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"WY","Programs":"MEDICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NONIL","PrimaryPayerId":"AMM11","DisplayName":"MediChoice Independent Practice Association","Names":"","Aliases":"7726|9673|AMM11","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://medichoiceipa.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RPGOD","PrimaryPayerId":"23160","DisplayName":"Medico Insurance Company","Names":"Medico|Medico Insurance Company - Wellabe","Aliases":"10923|23160|6600|6885|EIZHI|HDM04|MDICO|MEDCO|ZP1305","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"YBSKE","ParentPayerGroupName":"Wellabe Mutual Holding Company Group","WebsiteUrl":"https://www.wellabe.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RPGBZ","PrimaryPayerId":"E2712","DisplayName":"MedicusSTAT, LLC","Names":"","Aliases":"1749|1950|E2712","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DZEWV","PrimaryPayerId":"MEDISTREAMS","DisplayName":"MediStreams","Names":"","Aliases":"MEDISTREAMS","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medistreams.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XWPUX","PrimaryPayerId":"UMSEB","DisplayName":"Mediview CMSEB UB","Names":"","Aliases":"2572|UMSEB","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://curative.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LKXUZ","PrimaryPayerId":"GCIHC","DisplayName":"Mediview Galveston County Indigent Care","Names":"MediView Galveston County Indigent Care|MediView Galveston County Indigent Care UB","Aliases":"GCIHC","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CXBVO","PrimaryPayerId":"RUTMH","DisplayName":"MediView UTMB","Names":"MediView The University of Texas Medical Branch 3|Mediview UTMB Care UB","Aliases":"1286|RUTMH|U3TMB|UTMB3","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MTCMU","PrimaryPayerId":"MLAMR","DisplayName":"MedLogix Managed Service Organization - Americo Independent Practice Association","Names":"MedLogix Management Services Organization - Americo Independent Practice Association","Aliases":"MLAMR","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medlogixmso.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SOKVO","PrimaryPayerId":"73066","DisplayName":"MedMutual Protect","Names":"Kemper Health|Medical Mutual of Ohio|Reserve National Insurance","Aliases":"11047|111127|11127|2682|5812|73066|RESNI","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://portal.medmutualprotect.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PREPY","PrimaryPayerId":"412MP","DisplayName":"MedPartners","Names":"","Aliases":"412MP|4650|6148","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medpartnersonline.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HUHYU","PrimaryPayerId":"441MP","DisplayName":"MedPartners Administrative Services","Names":"","Aliases":"441MP|7246|8665","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medpartnersonline.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XQMZD","PrimaryPayerId":"35205","DisplayName":"MedPartners Administrative Services (Indiana)","Names":"","Aliases":"35205","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medpartnersonline.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QCVLE","PrimaryPayerId":"MP001","DisplayName":"Medpay First One","Names":"","Aliases":"MP001","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FCIUG","PrimaryPayerId":"J1956","DisplayName":"MedRisk","Names":"","Aliases":"J1956","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medrisknet.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VKBON","PrimaryPayerId":"62160","DisplayName":"MedSolutions Incorporated (Evicore)","Names":"EviCore by Evernorth","Aliases":"1825|62160|8973","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.evicore.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PEITK","PrimaryPayerId":"RP062","DisplayName":"MedStar Family Choice District of Columbia","Names":"MFC-DC|MedStar Family Care|MedStar Health","Aliases":"10844|4076|4425|8819|DCMED|RP062","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"DC","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medstarfamilychoicedc.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZSXLS","PrimaryPayerId":"RP063","DisplayName":"MedStar Family Choice Maryland","Names":"HealthChoice|MedStar Family Choice – Maryland HealthChoice","Aliases":"3614|39190|4775|MSFC|RP063|ZHLDE","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"MD","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medstarfamilychoicemd.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NDXZL","PrimaryPayerId":"10845","DisplayName":"MedStar Health Plan","Names":"","Aliases":"10845","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"DC","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medstarhealth.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HSNXF","PrimaryPayerId":"MX001","DisplayName":"Medxoom","Names":"","Aliases":"MX001","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KOFHD","PrimaryPayerId":"11030","DisplayName":"MEMIC","Names":"Maine Employers' Mutual Insurance Company","Aliases":"11030","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"ME","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.memic.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JZQJK","PrimaryPayerId":"JZQJK","DisplayName":"MEMIC – Workers Compensation","Names":"MEMIC (WC)","Aliases":"JZQJK","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WCJWJ","PrimaryPayerId":"MHB123","DisplayName":"Memorial Hermann Bundle Program","Names":"","Aliases":"CGT456|MHB123","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://healthplan.memorialhermann.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PGRAJ","PrimaryPayerId":"MHHNP","DisplayName":"Memorial Hermann Health Insurance Company","Names":"Memorial Hermann Health Network|Memorial Hermann Health Solutions","Aliases":"3475|8915|MHHNP|MHHNPMA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TX","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://healthplan.memorialhermann.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JGWVZ","PrimaryPayerId":"87166","DisplayName":"Memorial Medical Center","Names":"","Aliases":"1711|87166","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HPAVG","PrimaryPayerId":"33010","DisplayName":"MemorialCare Independent Physicians","Names":"","Aliases":"33010|5845|7594","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.memorialcare.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZROQO","PrimaryPayerId":"MMFMC","DisplayName":"MemorialCare Medical Foundation","Names":"","Aliases":"6750|9662|MMFMC","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.memorialcare.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AGLFM","PrimaryPayerId":"MMFCS","DisplayName":"MemorialCare Medical Foundation (Cap Services)","Names":"","Aliases":"MMFCS","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.memorialcare.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UJFHE","PrimaryPayerId":"MMFUC","DisplayName":"MemorialCare Medical Foundation (UC Irvine)","Names":"MemorialCare Medical Foundation (University of California, Irvine)","Aliases":"7228|8645|MMFUC","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.memorialcare.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WDFZD","PrimaryPayerId":"46187","DisplayName":"MemorialCare Select Health Plan","Names":"Seaside Health Plan","Aliases":"46187|7297|9620","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.memorialcareselecthealthplan.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JBESK","PrimaryPayerId":"E4618","DisplayName":"MemorialCare Select Health Plan Encounters","Names":"","Aliases":"2768|7940|E4618","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.memorialcareselecthealthplan.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QRKPF","PrimaryPayerId":"33650","DisplayName":"Mendota Insurance Company","Names":"","Aliases":"33650","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.mendota-insurance.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NRWFW","PrimaryPayerId":"37050","DisplayName":"Mental Health Consultants","Names":"MHC","Aliases":"1050|37050|7878","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.mhconsultants.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CMLNK","PrimaryPayerId":"56155","DisplayName":"Mercalis","Names":"Trialcard|VYEPTI CONNECT Copay Assistance Program|Valeris","Aliases":"56155|7821|9532","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.valeris.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AZEBM","PrimaryPayerId":"IHS24","DisplayName":"Merchants Benefit Administration","Names":"MBA","Aliases":"1701|8070|IHS24","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://mbaadmin.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BVCGQ","PrimaryPayerId":"86087","DisplayName":"Merchants Benefit Administration","Names":"MBA","Aliases":"00081|1274|6518|86087","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.mbaadmin.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SQRGD","PrimaryPayerId":"MBAM1","DisplayName":"Merchants Benefit Administration","Names":"Premier Access Inc","Aliases":"1805|2957|MBAAZ|MBAM1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://mbaadmin.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XJCPS","PrimaryPayerId":"37264","DisplayName":"Mercy Benefit Administrators","Names":"","Aliases":"37264","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JFLVB","PrimaryPayerId":"33628","DisplayName":"Mercy Care ACC-RBHA","Names":"Mercy Care Regional Behavioral Health Authority|Mercy Maricopa Integrated Care","Aliases":"33628|5985|6717|MMICR","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"AZ","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.mercycareaz.org","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QTJKN","PrimaryPayerId":"AZM01","DisplayName":"Mercy Care Arizona","Names":"","Aliases":"AZM01|TLW15","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"AZ","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.mercycareaz.org","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GMTFQ","PrimaryPayerId":"86052","DisplayName":"Mercy Care Plan (AZ Health Care Cost Containment System)","Names":"Mercy Care Plan (AZHCCS)|Mercy Care Plan (Arizona Health Care Cost Containment System)","Aliases":"10133|3433|3530|86052|86052MA|AZMCP","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"AZ","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.mercycareaz.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WKFSM","PrimaryPayerId":"43185","DisplayName":"Mercy Provider Network","Names":"","Aliases":"1270|43185|6506","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LVDWX","PrimaryPayerId":"39114","DisplayName":"MercyCare","Names":"MercyCare Health Plans|MercyCare Wisconsin & Illinois|MercyCare of Wisconsin|Mercyhealth","Aliases":"00152|1616|39114|5298","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IL|WI","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.mercycarehealthplans.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PKFAN","PrimaryPayerId":"13189","DisplayName":"Meridian (Illinois)","Names":"Meridian Health Plan|Meridian Health Plan Illinois|Meridian Health Plan Illinois Complete|Meridian Health Plan Illinois Medicaid|YouthCare HealthChoice Illinois","Aliases":"10644|13189|14340|14520|4777|5058|9102|MCCIL|MERIL|MHPIL|MHPILMA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"IL","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"RZIUK","ParentPayerGroupName":"Centene Corporation Group","WebsiteUrl":"https://www.ilmeridian.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KLKOC","PrimaryPayerId":"MHPMI","DisplayName":"Meridian (Michigan)","Names":"Meridian Health Plan|Meridian Health Plan Michigan Complete|Meridian Medicaid Michigan|Meridian of Michigan","Aliases":"11195|5072|52563|9118|MHPMI","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"MI","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"RZIUK","ParentPayerGroupName":"Centene Corporation Group","WebsiteUrl":"https://www.mimeridian.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SPEOC","PrimaryPayerId":"M7701","DisplayName":"Meridian PACE Solutions","Names":"AllCARE for Seniors|LIFE Pittsburgh|MPS|MT Rogers PACE","Aliases":"25181|2867|3043|8077|8292|M7701|MPSAB|YMVAM","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://meridianpacesolutions.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ORINV","PrimaryPayerId":"FCMA1","DisplayName":"Meritage Medical Network – Central Valley","Names":"First Choice MA Plans|First Choice Medicare Advantage Plans","Aliases":"FC002|FCMA1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.meritagemed.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VOHTZ","PrimaryPayerId":"IP097","DisplayName":"Meritage Medical Network – NorCal ","Names":"Marin Independent Practice Association","Aliases":"2183|IP097","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.meritagemed.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NPFPE","PrimaryPayerId":"41124","DisplayName":"Meritain Health","Names":"Corporate Benefit Services of America (CBSA)|E-V Benefits Management Inc.|Meritain Health Minneapolis|NABN|North American Benefits Network, Inc.|Weyco","Aliases":"10463|10635|1708|34159|38232|41124|4561|64157|64158|8402|JGCQW|LENLW|MERITAINHEALTH|MERITN|MTAIN","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"IWQUE","ParentPayerGroupName":"Aetna (CVS Group)","WebsiteUrl":"https://www.meritain.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LNLVE","PrimaryPayerId":"MERP1","DisplayName":"MERP Administration Services","Names":"","Aliases":"3259|8541|MERP1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"http://www.ezmerpservices.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QWKJV","PrimaryPayerId":"381641634A","DisplayName":"MESSA","Names":"","Aliases":"381641634A","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OXSEY","PrimaryPayerId":"65113","DisplayName":"Metcare Health Plans","Names":"MetCare Health Plans","Aliases":"3969|4282|65113","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KNDAF","PrimaryPayerId":"10134","DisplayName":"MetLife Dental Family","Names":"MetLife Health Plans|MetLife Services and Solutions|Metropolitan General Insurance Company|Metropolitan Life Insurance Company|SafeGuard Health Plans","Aliases":"10134|65978|CX030|CX048","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"OVER_4_WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"13-5581829|95-2879515","CoverageTypes":"dental","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://dentalprovider.metlife.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PYEIO","PrimaryPayerId":"13265","DisplayName":"MetroPlusHealth","Names":"MetroPlus Health Plan","Aliases":"10846|13265|13265MA|2296|8972|METPL","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NY","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://metroplus.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HCXCY","PrimaryPayerId":"J1355","DisplayName":"Metropolitan Council","Names":"","Aliases":"E5814|J1355","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GRHFU","PrimaryPayerId":"J1238","DisplayName":"Metropolitan Transit Authority","Names":"","Aliases":"J1238","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZQGYR","PrimaryPayerId":"23550","DisplayName":"MFC and HealthPlus Peoria","Names":"Northwestern Medicine Physicians Network","Aliases":"1918|23550|3229","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.nmphysiciannetwork.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WQLPC","PrimaryPayerId":"92579","DisplayName":"Miami Behavioral Health","Names":"","Aliases":"92579","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GINRZ","PrimaryPayerId":"82832","DisplayName":"Miami Children's Health Plan","Names":"","Aliases":"82832","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VPQTA","PrimaryPayerId":"37127","DisplayName":"Michael Reese Physicians Group","Names":"","Aliases":"37127","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VBAKH","PrimaryPayerId":"A1432","DisplayName":"Michigan Laborers’ Fringe Benefit Funds","Names":"Michigan Laborers Health Care Fund|Michigan Laborers' Health Care Fund|WPAS|Welfare & Pension Administration Service","Aliases":"A1432","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"MI","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.michiganlaborers.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BVFGR","PrimaryPayerId":"10138","DisplayName":"MiChild Michigan","Names":"MDHHS|Michigan Department of Health and Human Services|Michigan MIChild","Aliases":"10138","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"MI","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.michigan.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PSKUE","PrimaryPayerId":"37281","DisplayName":"Mid America Associates Incorporated","Names":"Mid-America Associates, Inc.","Aliases":"1613|37281|5294","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://maaassociates.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OYWXF","PrimaryPayerId":"47080","DisplayName":"Midlands Choice","Names":"","Aliases":"1742|47080|6588","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.midlandschoice.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MJPQK","PrimaryPayerId":"J1622","DisplayName":"Midsouth Mutual Insurance Company","Names":"MidSouth Mutual Insurance Company (MMIC)","Aliases":"J1622","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MOSOP","PrimaryPayerId":"J1119","DisplayName":"Midwest Drywall","Names":"","Aliases":"J1119","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BFKWF","PrimaryPayerId":"C1051","DisplayName":"Midwest Family Mutual (Auto Only)","Names":"Midwest Family Mutual Insurance Company","Aliases":"C1051","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"AUTOMOBILE_MEDICAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://midwestfamily.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JQJCA","PrimaryPayerId":"J1685","DisplayName":"Midwest Family Mutual Insurance Company","Names":"","Aliases":"J1685","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NJIHE","PrimaryPayerId":"10895","DisplayName":"Midwest Insurance","Names":"Midwest Insurance Company","Aliases":"10895","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IL|TX","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.midins.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KNGAB","PrimaryPayerId":"MW150","DisplayName":"Midwest Operating Engineers Fringe Benefit Funds","Names":"MOE Benefit Funds|Midwest Operating Engineers Health and Welfare","Aliases":"MW150","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://local150.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HROHA","PrimaryPayerId":"45979","DisplayName":"Midwest Operating Engineers Welfare Fund","Names":"International Union of Operating Engineers Local 150","Aliases":"45979|8157|ZP1291","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IL","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://local150.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LFMDR","PrimaryPayerId":"IHS23","DisplayName":"Midwest Public Risk Management Association","Names":"Mountaineer Preferred Managed Benefits Association","Aliases":"1700|8069|IHS23","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NQEFL","PrimaryPayerId":"J1482","DisplayName":"Millard Refrigerated","Names":"","Aliases":"J1482","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OALWF","PrimaryPayerId":"MAI60","DisplayName":"Millette Administrators Inc. (Michigan)","Names":"","Aliases":"2869|8078|MAI60","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://milletteadministrators.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NHWLX","PrimaryPayerId":"MAI58","DisplayName":"Millette Administrators, Inc.","Names":"","Aliases":"1594|1715|MAI58","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://milletteadministrators.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EWQZL","PrimaryPayerId":"J1351","DisplayName":"Minnesota Counties Insurance Trust","Names":"","Aliases":"J1351","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KMGSQ","PrimaryPayerId":"MNDH1","DisplayName":"Minnesota Department of Health","Names":"Sage Breast and Cervical Cancer Screening|Sage Screening Program","Aliases":"5653|6294|MNDH1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"MN","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.health.state.mn.us","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KOXRS","PrimaryPayerId":"J1436","DisplayName":"Minnesota Department of Labor and Industry Claims","Names":"","Aliases":"J1436","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XGUAM","PrimaryPayerId":"46484","DisplayName":"Minnesota Power","Names":"","Aliases":"46484|R7005","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CMGHL","PrimaryPayerId":"26300","DisplayName":"MinuteMen OhioComp","Names":"1-888-OHIOCOMP|Minute Men Ohio Comp|MinuteMen OhioComp MCO|MinuteMen OhioComp Managed Care Organization","Aliases":"26300|7627","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"ONE_CLICK","ProfessionalClaimEnrollmentTimeframe":"DAYS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"ONE_CLICK","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"OH","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.minutemenmco.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NZWME","PrimaryPayerId":"611850001","DisplayName":"Mirra Health Care","Names":"Mirra TPA","Aliases":"611850001","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://mirrahealthcare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TENQW","PrimaryPayerId":"MISHE","DisplayName":"Mishe Health","Names":"","Aliases":"2255|2501|MISHE","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://mishe.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AKMGN","PrimaryPayerId":"MPM07","DisplayName":"Mission Community IPA Medical Group","Names":"MedPOINT Management","Aliases":"MPM07","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medpointmanagement.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NHJHV","PrimaryPayerId":"10140","DisplayName":"Mississippi CHIP","Names":"Mississippi Children's Health Insurance Program|Mississippi Division of Medicaid","Aliases":"10140","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"MS","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://medicaid.ms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MKRDU","PrimaryPayerId":"SKMS1","DisplayName":"Mississippi Medicaid Medicare Advantage Crossovers","Names":"","Aliases":"12K18|SKMS1|SMLZS","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"DAYS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XTPZI","PrimaryPayerId":"64084","DisplayName":"Mississippi Physicians Care Network","Names":"","Aliases":"2179|64084|9639","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"MS","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://mpcn-ms.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PMTSR","PrimaryPayerId":"37275","DisplayName":"Missoula County Medical Benefits","Names":"Missoula County Medical Benefits Plan","Aliases":"3446|37275|7549","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"MT","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.missoulacounty.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DLARX","PrimaryPayerId":"J1085","DisplayName":"Mitchell Energy and Development","Names":"","Aliases":"J1085","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DAIFG","PrimaryPayerId":"J1692","DisplayName":"Mitsui Sumitomo Insurance Group","Names":"","Aliases":"J1692","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZTVUK","PrimaryPayerId":"J1694","DisplayName":"Mitsui Sumitomo Insurance USA Incorporated","Names":"","Aliases":"J1694","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DCURP","PrimaryPayerId":"PREMD","DisplayName":"MMM","Names":"MMM Healthcare|Medicare y Mucho Más|PMC|Preferred Medicare Choice","Aliases":"10959|5692|66059|6713|8649|PREMD|RP081|Z60056","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"PR","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.mmm-pr.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BSURE","PrimaryPayerId":"L0210","DisplayName":"MMM Healthcare","Names":"MMM|Medicare y Mucho Mas|Medicare y Mucho Más","Aliases":"10960|L0210","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"PR","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.mmm-pr.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QPDZX","PrimaryPayerId":"660653763","DisplayName":"MMM Multihealth","Names":"MMM Multi Health","Aliases":"66065|660653763|7230|8647|MMMHRF","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"66-0653763","CoverageTypes":"dental|medical","OperatingStates":"PR","Programs":"","PtanRequired":"false","ParentPayerGroupId":"VJLBL","ParentPayerGroupName":"Anthem","WebsiteUrl":"https://www.multihealth-vital.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YXUCP","PrimaryPayerId":"SX1093","DisplayName":"MMO Health","Names":"MMO Health","Aliases":"2444|2621|SX093|SX1093","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YUFJT","PrimaryPayerId":"13350","DisplayName":"Moda Health Plan","Names":"EOCCO|Eastern Oregon Coordinated Care Organization|Moda Health|ODS Community Dental|ODS Health Plan|OEA Choice Trust|OHSU Health IDS|Oregon Dental Service Health Plan","Aliases":"11005|13350|13350MA|2576|7498|93098|MODA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"93-0989307","CoverageTypes":"dental|medical|vision","OperatingStates":"AK|ID|OR|TX","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://modahealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CUPUS","PrimaryPayerId":"MODIV","DisplayName":"Modivcare","Names":"","Aliases":"MODIV","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"ONE_CLICK","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"ONE_CLICK","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.modivcare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EPBGH","PrimaryPayerId":"MCC02","DisplayName":"Molina Complete Care Virginia DSNP","Names":"Molina Complete Care Dual Eligible Special Needs Plan|Molina Complete Care of Virginia","Aliases":"12260|14379|26176|3042|8291|MCC02|MCCVA|MLNVA|MOLINA_VA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"VA","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"WLBLT","ParentPayerGroupName":"Molina Healthcare Inc Group","WebsiteUrl":"https://www.molinahealthcare.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DOGPS","PrimaryPayerId":"16146","DisplayName":"Molina Healthcare - Affinity by Molina Healthcare","Names":"Molina Healthcare New York (Total Care New York)|Molina Healthcare of New York","Aliases":"13334|14324|16146|3434|5684|BXQNL|MOLINA_NY|SCHCTC|TCARE","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"NY","Programs":"","PtanRequired":"false","ParentPayerGroupId":"WLBLT","ParentPayerGroupName":"Molina Healthcare Inc Group","WebsiteUrl":"https://www.molinahealthcare.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PZLVD","PrimaryPayerId":"MLNNM","DisplayName":"Molina Healthcare - New Mexico Medicaid","Names":"Molina NM Medicaid - Turquoise|Molina NM Medicaid - Turquoise Care","Aliases":"1872|3602|MLNNM","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NM","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"WLBLT","ParentPayerGroupName":"Molina Healthcare Inc Group","WebsiteUrl":"https://www.molinahealthcare.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FWIEU","PrimaryPayerId":"A4353","DisplayName":"Molina HealthCare Arizona","Names":"Molina Complete Care of Arizona|Molina Healthcare Arizona","Aliases":"1098|14431|8127|A4353|MCC01|MLNAZ|MOLINA_CCA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZKMIW","PrimaryPayerId":"38333","DisplayName":"Molina Healthcare California","Names":"Central Health Medicare Plan|Molina Healthcare of California","Aliases":"1019|1423|14305|33373|3539|38333|38333MA|38339|7844|CAMLNA|ISMCA|MLNCA|MOLCA|MOLINA_CA|MRUNG","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"CA","Programs":"COMMERCIAL|MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"WLBLT","ParentPayerGroupName":"Molina Healthcare Inc Group","WebsiteUrl":"https://www.molinahealthcare.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IPMKW","PrimaryPayerId":"51062","DisplayName":"Molina Healthcare Florida","Names":"Molina Healthcare of Florida Encounters","Aliases":"00513|10445|1718|4879|51062|8913|FLMLNA|MLNFL|MOLINA_FL","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"FL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"WLBLT","ParentPayerGroupName":"Molina Healthcare Inc Group","WebsiteUrl":"https://www.molinahealthcare.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YCDLI","PrimaryPayerId":"61799","DisplayName":"Molina HealthCare Idaho","Names":"","Aliases":"1018|12270|61799|61799MA|7842|MLNID|MOLINA_ID","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"ID","Programs":"COMMERCIAL|MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"WLBLT","ParentPayerGroupName":"Molina Healthcare Inc Group","WebsiteUrl":"https://www.molinahealthcare.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BJEWB","PrimaryPayerId":"20934","DisplayName":"Molina Healthcare Illinois","Names":"Molina HealthCare Illinois","Aliases":"10685|20934|6806|6907|MLNIL|MOLIL|MOLINA_IL","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"IL","Programs":"COMMERCIAL|MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"WLBLT","ParentPayerGroupName":"Molina Healthcare Inc Group","WebsiteUrl":"https://www.molinahealthcare.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DQFAF","PrimaryPayerId":"MLNMI","DisplayName":"Molina Healthcare Michigan","Names":"","Aliases":"10250|3551|38334|5443|MIMLNA|MLNMI|MOLINA_MI|Z1007|Z1007MA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"MI","Programs":"","PtanRequired":"false","ParentPayerGroupId":"WLBLT","ParentPayerGroupName":"Molina Healthcare Inc Group","WebsiteUrl":"https://www.molinahealthcare.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BXUAU","PrimaryPayerId":"A8822","DisplayName":"Molina Healthcare Nebraska","Names":"","Aliases":"14454|1835|3626|A8822|MLNNE|MOLINA_NE","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"NE","Programs":"","PtanRequired":"false","ParentPayerGroupId":"WLBLT","ParentPayerGroupName":"Molina Healthcare Inc Group","WebsiteUrl":"https://www.molinahealthcare.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BMSRO","PrimaryPayerId":"MLNNV","DisplayName":"Molina HealthCare Nevada","Names":"EVV Molina Health Plan Nevada|Molina Healthcare Nevada|Molina Healthcare of Nevada","Aliases":"14400|6086|9247|A6106|MLNNV|MOLINA_NV|NVHPN|NVMOL|YEXTH","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"NV","Programs":"","PtanRequired":"false","ParentPayerGroupId":"WLBLT","ParentPayerGroupName":"Molina Healthcare Inc Group","WebsiteUrl":"https://www.molinahealthcare.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LQSAG","PrimaryPayerId":"CIMS","DisplayName":"Molina Healthcare New Mexico","Names":"Molina Healthcare of New Mexico","Aliases":"04423|09824|10146|3848|8914|CIMS|MOLINA_NM|NM505|NMMLNA|TH059","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NM","Programs":"COMMERCIAL|MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"WLBLT","ParentPayerGroupName":"Molina Healthcare Inc Group","WebsiteUrl":"https://www.molinahealthcare.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RMEPJ","PrimaryPayerId":"MLNIA","DisplayName":"Molina Healthcare of Iowa","Names":"","Aliases":"14417|8050|9768|MLNIA|MLNIAMA|MOLINA_IA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"IA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"WLBLT","ParentPayerGroupName":"Molina Healthcare Inc Group","WebsiteUrl":"https://www.molinahealthcare.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QTMWC","PrimaryPayerId":"MOLINA_KY","DisplayName":"Molina Healthcare of Kentucky","Names":"","Aliases":"16745|MOLINA_KY","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FKWHT","PrimaryPayerId":"77010","DisplayName":"Molina Healthcare of Mississippi","Names":"Molina Healthcare Mississippi","Aliases":"1053|14370|14371|77010|7880|MOLINA_MS","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"MS","Programs":"COMMERCIAL|MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"WLBLT","ParentPayerGroupName":"Molina Healthcare Inc Group","WebsiteUrl":"https://www.molinahealthcare.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BMYAQ","PrimaryPayerId":"20149","DisplayName":"Molina HealthCare Ohio","Names":"Molina Healthcare Ohio","Aliases":"10251|1908|20149|20149MA|2286|MLNOH|MOLINA_OH|OHMLNA|SKOH4","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"OH","Programs":"COMMERCIAL|MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.molinahealthcare.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OEZFO","PrimaryPayerId":"46299","DisplayName":"Molina Healthcare South Carolina","Names":"","Aliases":"10815|46299|6794|6998|MLNSC|MOLINA_SC|SCMLNA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"SC","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZESMZ","PrimaryPayerId":"MLNTX","DisplayName":"Molina Healthcare Texas","Names":"","Aliases":"00308|10391|20554|4226|4957|MLNTX|MOLINA_TX|TXMLNA|Z1161|Z1161MA|Z1161MC","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"TX","Programs":"","PtanRequired":"false","ParentPayerGroupId":"WLBLT","ParentPayerGroupName":"Molina Healthcare Inc Group","WebsiteUrl":"https://www.molinahealthcare.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IGEJI","PrimaryPayerId":"MLNUT","DisplayName":"Molina Healthcare Utah","Names":"","Aliases":"10252|12X09|3611|4237|MLNUT|MOLINA_UT|SX109|UTMLNA|Z1014|Z1014MA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"UT","Programs":"","PtanRequired":"false","ParentPayerGroupId":"WLBLT","ParentPayerGroupName":"Molina Healthcare Inc Group","WebsiteUrl":"https://www.molinahealthcare.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XKLKL","PrimaryPayerId":"38336","DisplayName":"Molina HealthCare Washington","Names":"Molina Healthcare Washington|Molina Healthcare of Washington Encounters","Aliases":"10253|1863|2561|38336|38336MA|43174|8212|MLNWA|MOLINA_WA|WAMLNA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"WA","Programs":"COMMERCIAL|MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"WLBLT","ParentPayerGroupName":"Molina Healthcare Inc Group","WebsiteUrl":"https://www.molinahealthcare.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BZHYW","PrimaryPayerId":"ABRI1","DisplayName":"Molina Healthcare Wisconsin","Names":"Molina Healthcare of Wisconsin","Aliases":"10628|2119|5951|ABRI1|MLNAWI|MLNWI|MOLINA_WI","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"WI","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.molinahealthcare.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JNOGM","PrimaryPayerId":"0007316","DisplayName":"Molina Ohio Medicaid Managed Care Entity","Names":"Molina Ohio Medicaid Vision|Ohio ABD","Aliases":"0007316|07316|14385|7072|73160|7316V|9462","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"OH","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"WLBLT","ParentPayerGroupName":"Molina Healthcare Inc Group","WebsiteUrl":"https://www.molinahealthcare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FWPHY","PrimaryPayerId":"MOMTM","DisplayName":"Momentum TPA","Names":"Health In Tech","Aliases":"3492|9016|MOMTM","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://healthintech.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QLZGC","PrimaryPayerId":"01759","DisplayName":"Monitor Life Insurance","Names":"","Aliases":"01759|14378|16098|6256|Z90016","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NY","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EOTNX","PrimaryPayerId":"J1424","DisplayName":"Montgomery","Names":"","Aliases":"J1424","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OQULR","PrimaryPayerId":"J1890","DisplayName":"Montgomery County Self Insurance Program","Names":"MCSIP|Montgomery County Government Self Insurance Program","Aliases":"J1890","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"MD","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://mcsip.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MWTHF","PrimaryPayerId":"A0179","DisplayName":"Montgomery County Texas","Names":"","Aliases":"A0179","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TX","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://mctx.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YWAHE","PrimaryPayerId":"J1530","DisplayName":"Monument Administrators Cornerstone Compensation","Names":"Monument Administrators Cornerstone Comp|Monument Administrators Elite Country Club","Aliases":"J1530","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OJGQH","PrimaryPayerId":"J1651","DisplayName":"Morongo Basin Transit Authority California","Names":"","Aliases":"J1651","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IXGMA","PrimaryPayerId":"J1086","DisplayName":"Morris Material Handling","Names":"","Aliases":"J1086","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KRPXC","PrimaryPayerId":"J1087","DisplayName":"Morrison Healthcare Incorporated","Names":"","Aliases":"J1087","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ILRBL","PrimaryPayerId":"MPI01","DisplayName":"Motion Picture Industry Pension and Health Plans","Names":"MPIPHP","Aliases":"MPI01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.mpiphp.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MFYLH","PrimaryPayerId":"U7632","DisplayName":"MotivHealth","Names":"HSA Health Insurance Company|MotivHealth Insurance Company","Aliases":"07632|46672|U7632","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"true","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"47-3906935","CoverageTypes":"dental|medical","OperatingStates":"AZ|CO|IN|NV|TX|UT","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.motivhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LGJUA","PrimaryPayerId":"10800","DisplayName":"Mount Carmel MediGold","Names":"MediGold Health Plans|MediGold Trinity Health|Mount Carmel Health Plan","Aliases":"10800|16735|DST_SSC","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"OH","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.thpmedicare.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EUYTH","PrimaryPayerId":"R3492","DisplayName":"Mount Sinai Eldercare ","Names":"Mt Sinai Eldercare","Aliases":"1951|2227|R3492","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"FL","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.msmc.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FSRDJ","PrimaryPayerId":"MHC01","DisplayName":"Mountain Health Co-op","Names":"Mountain Health Co-op (administered by Wipro)","Aliases":"2499|7565|MHC01","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"ID|MT|WY","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://mountainhealth.coop","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DLDKS","PrimaryPayerId":"LW021","DisplayName":"Movedocs.com llc","Names":"","Aliases":"LW021","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://movedocs.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AZHOJ","PrimaryPayerId":"37233","DisplayName":"MPE Employee Benefit Services Incorporated","Names":"","Aliases":"37233|3871|3933","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.hubinternational.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NIFKS","PrimaryPayerId":"STXB99","DisplayName":"MPower Bundle","Names":"MPOWERHealth","Aliases":"STXB99","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://mpowerhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FJRZN","PrimaryPayerId":"MPWR01","DisplayName":"mPower Fee-for-Service","Names":"MPOWERHealth","Aliases":"9287|MPWR01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://mpowerhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FBAFL","PrimaryPayerId":"IHS42","DisplayName":"MS Administrative Services ","Names":"M S Administrative Services|MS Administrators|Mountain States Administrative Services","Aliases":"2434|2584|IHS42","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://msadmin.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OPMRJ","PrimaryPayerId":"20572","DisplayName":"MSA Care Guard","Names":"Ametros Medicare Set Asides CareGuard","Aliases":"1047|20572|7876","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://ametros.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AOYNS","PrimaryPayerId":"RP036","DisplayName":"MultiCare Connected Care","Names":"","Aliases":"6098|9276|RP036","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"WA","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.multicareconnectedcare.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SEZFI","PrimaryPayerId":"R3457","DisplayName":"MultiCare PACE","Names":"MultiCare Program of All-Inclusive Care for the Elderly|Pacific Northwest PACE Partners","Aliases":"7089|9703|R3457","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"WA","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.multicare.org","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LYWJY","PrimaryPayerId":"9048P","DisplayName":"MultiPlan Incorporated","Names":"","Aliases":"9048P","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XKJEN","PrimaryPayerId":"72099","DisplayName":"Multiplan New Orleans Division","Names":"Claritev","Aliases":"1865|72099|8556","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.claritev.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MDBLK","PrimaryPayerId":"MLTOT","DisplayName":"Multnomah County","Names":"Multnomah Other|Multnomah Treatment Fund","Aliases":"3468|MLTOT","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"OR","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://multco.us","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NLBGR","PrimaryPayerId":"J1088","DisplayName":"Munford Incorporated","Names":"","Aliases":"J1088","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PHMHA","PrimaryPayerId":"81883","DisplayName":"Municipal Health Benefit Program","Names":"Arkansas Municipal League|Municipal Health Benefit Fund","Aliases":"10687|2167|5956|81883|MNHBF","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"AR","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.armunileague.org","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SOLER","PrimaryPayerId":"37256","DisplayName":"Mutual Assurance Administrators","Names":"HealthSmart Benefit Solutions","Aliases":"37256","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.healthsmart.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YICPW","PrimaryPayerId":"34192","DisplayName":"Mutual Health Services","Names":"Medical Mutual of Ohio","Aliases":"10686|2290|2935|34192|9754|ANTAR|TSTMHS","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"OH","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.mutualhealthservices.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HZWKL","PrimaryPayerId":"71412","DisplayName":"Mutual of Omaha","Names":"ExclusiCare|Exclusicare|Mutual Commercial|Mutually Preferred|United of Omaha","Aliases":"10382|12901|2420|3677|4530|4950|71412|CX087|MUTOMH","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NE","Programs":"","PtanRequired":"false","ParentPayerGroupId":"BXPCP","ParentPayerGroupName":"Mutual of Omaha Group","WebsiteUrl":"https://www.mutualofomaha.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CBOAM","PrimaryPayerId":"141650868","DisplayName":"MVP Health Care","Names":"Hudson Health Plan","Aliases":"11046|141650868","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"14-1650868","CoverageTypes":"dental","OperatingStates":"NY","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.mvphealthcare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WZMTQ","PrimaryPayerId":"14165","DisplayName":"MVP Health Care","Names":"MVP Child Health Plus|MVP Health Plan|MVP Health Plan New York|MVP Medicaid Managed Care|New York Preferred Care","Aliases":"10148|14165|14165MA|14506|1748|6538|DX064|MVP|MVPHP|NMZVN|NYMVP|OUYJL|TLX30","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"14-1650868","CoverageTypes":"dental|medical|vision","OperatingStates":"AZ|FL|NY|PA|SC|VT","Programs":"COMMERCIAL|MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"GHZBR","ParentPayerGroupName":"MVP Group","WebsiteUrl":"https://www.mvphealthcare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LOPXL","PrimaryPayerId":"27004","DisplayName":"My Choice Wisconsin","Names":"Care Wisconsin Health Plan|My Choice Wisconsin by Molina Healthcare","Aliases":"2680|27004|5809","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"WI","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.mychoicewi.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BFMCY","PrimaryPayerId":"33020","DisplayName":"My Family Medical Group","Names":"Chino Medical Group","Aliases":"33020","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://myfamilymg.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VJGXQ","PrimaryPayerId":"IHS47","DisplayName":"My Price Health LLC","Names":"","Aliases":"2283|2546|IHS47","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://myprice.health","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FXYFU","PrimaryPayerId":"MTAMA","DisplayName":"MyTruAdvantage","Names":"MyTruAdvantage (Medicare Advantage)|SIHO|Southeastern Indiana Health Organization","Aliases":"7039|9422|MTAMA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IN","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.mytruadvantage.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VPQGV","PrimaryPayerId":"1780816991","DisplayName":"Nae Edison Llc - Gv","Names":"Edison Home Health Care","Aliases":"1780816991","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"NY","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://edisonhhc.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YSIQZ","PrimaryPayerId":"67788","DisplayName":"NAHGA","Names":"National Accident Health General Agency","Aliases":"1223|4520|67788","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.nahgaclaimservices.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IGNEA","PrimaryPayerId":"53011","DisplayName":"NALC Health Benefit Plan","Names":"NRLC|National Association of Letter Carriers|National Rural Letter Carrier Association","Aliases":"53011|7224|8640|NAOLC","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NATIONAL","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.nalchbp.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JAKRI","PrimaryPayerId":"J1120","DisplayName":"NAP Tools","Names":"","Aliases":"J1120","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DGLJT","PrimaryPayerId":"58182","DisplayName":"NaphCare","Names":"","Aliases":"5602|58182|6208|NAPHC","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.naphcare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VELMD","PrimaryPayerId":"45529","DisplayName":"Nascentia Health","Names":"Nascentia Health Plan|Nascentia Health Plus","Aliases":"3086|45529|8780","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NY","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://nascentiahealth.org","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DERKL","PrimaryPayerId":"10539","DisplayName":"Nassau","Names":"Central Reserve Life Insurance Company (Medicare Supplement)|Great American|Nassau Financial Group|Nassau Life Insurance Company of Kansas","Aliases":"10539|CRLMS|Z90023","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://nfg.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BHCFU","PrimaryPayerId":"68284","DisplayName":"Nassau Life Insurance Company of Kansas","Names":"","Aliases":"3709|68284|9408","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.nfg.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XYOBD","PrimaryPayerId":"62359","DisplayName":"Nassau Life Insurance Company of Texas","Names":"Nassau Financial Group","Aliases":"62359|65056|8054|9771","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"36-1824600","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://nfg.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WPVQJ","PrimaryPayerId":"80624","DisplayName":"Nassau Life Insurance Company Of Texas On Behalf Of American Progressive Life & Health Insurance Company Of New York","Names":"Concentrix Insurance Services|Nassau Life Insurance Company Of Texas On Behalf Of American Progressive Life & Health Insurance Company Of New York","Aliases":" 80624|80624","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PLUIY","PrimaryPayerId":"J1695","DisplayName":"National American Insurance Company (NAICO)","Names":"","Aliases":"J1695","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RBPGP","PrimaryPayerId":"16228","DisplayName":"National Asbestos Workers Medical Fund","Names":"NEBA|National Employee Benefit Administrators","Aliases":"16228|7031|9415","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.nebainc.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TSLSA","PrimaryPayerId":"NALC","DisplayName":"National Association of Letter Carriers (NALC)","Names":"National Association of Letter Carriers Health Benefit Plan","Aliases":"10149|NALC","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://nalchbp.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DYFCF","PrimaryPayerId":"TLX23","DisplayName":"National Automatic Sprinkler Industry","Names":"","Aliases":"DX065|TLX23","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JDNSN","PrimaryPayerId":"CMS","DisplayName":"National Centers for Medicare & Medicaid Services","Names":"CMS|HETS","Aliases":"10001|CMS|CMSMED|MAPMC|MEDICARE|Z1073","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"NATIONAL","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cms.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FEDPY","PrimaryPayerId":"FEDPY","DisplayName":"National COMP Administrators – Workers Compensation","Names":"National COMP Administrators","Aliases":"FEDPY","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION|AUTOMOBILE_MEDICAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NKLCQ","PrimaryPayerId":"CX045","DisplayName":"National Elevator Industry Benefit Plans","Names":"NEIB|National Elevator Industry Benefit Plan","Aliases":"1173|CX045","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.neibenefits.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WRVHR","PrimaryPayerId":"ZP1363","DisplayName":"National Employee Benefits Administrators","Names":"NEBA|National Employee Benefits Administrators, INC.","Aliases":"ZP1363","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://nebainc.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CZOJD","PrimaryPayerId":"J1484","DisplayName":"National Farmers Union Property and Casualty Company","Names":"QBE General Casualty Company of Wisconsin|Regent Insurance Company QBE Doing Business As|Unigard Insurance Company QBE Doing Business As","Aliases":"J1484","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RGQXJ","PrimaryPayerId":"98205","DisplayName":"National Foundation Life Insurance Company","Names":"American Founders Life Insurance Company|Life and Health Insurance Company of America|National Foundation Life Insurance","Aliases":"5203|7971|98205","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"FIVMG","ParentPayerGroupName":"UnitedHealth Group","WebsiteUrl":"https://www.ushealthgroup.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IVBVB","PrimaryPayerId":"C1028","DisplayName":"National General - Worker Compensation","Names":"Allstate|CIM Insurance Corporation|GMAC Insurance Company Online Incorporated|GMAC Insurance Management Corporation|Integon Casualty Insurance Company|Integon General Insurance Corporation|Integon Indemnity Corporation|Integon National Insurance Company|Integon Preferred Insurance Company|MIC General Insurance Corporation|MIC Property and Casualty Insurance Corporation|Motors Insurance Corporation|National General Insurance Online Incorporated (GMAC)|New South Insurance Company","Aliases":"C1028","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://nationalgeneral.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MFPWU","PrimaryPayerId":"13001","DisplayName":"National Government Services","Names":"","Aliases":"13001","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FTFIQ","PrimaryPayerId":"NHAIN","DisplayName":"National Health Administrators","Names":"NHAI|National Health Administrators Incorporated","Aliases":"NHAIN","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.nha.net","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XQSGI","PrimaryPayerId":"80057","DisplayName":"National Health Benefit","Names":"","Aliases":"80057","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZRVMZ","PrimaryPayerId":"88050","DisplayName":"National Health Benefit Corporation Auxiant","Names":"","Aliases":"1637|5239|88050","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://nationalhealthbenefits.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DLTZP","PrimaryPayerId":"32620","DisplayName":"National Interstate","Names":"Great American Insurance Group","Aliases":"32620","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://natl.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TQHSI","PrimaryPayerId":"J1021","DisplayName":"National Loss Prevention Incorporated","Names":"","Aliases":"J1021","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KTZVR","PrimaryPayerId":"52103","DisplayName":"National Telecommunications Cooperative Association","Names":"National Telecommunications Cooperative Association (NTCA)","Aliases":"10812|2407|2733|3987|52103|52120|NTCA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ntca.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IDMZR","PrimaryPayerId":"52104","DisplayName":"National Telecommunications Cooperative Association Staff Members","Names":"NTCA Staff Members|National Telecommunications Cooperative Association (NTCA) Staff Members","Aliases":"3944|52104|5258","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WFWIK","PrimaryPayerId":"NVADM","DisplayName":"National Vision Administrators","Names":"NVA","Aliases":"6242|NVADM","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.e-nva.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UYGQJ","PrimaryPayerId":"NV101","DisplayName":"Nations Vision","Names":"NationsBenefits|NationsVision","Aliases":"3840|9069|NV101","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://nationsbenefits.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PWBGS","PrimaryPayerId":"J1550","DisplayName":"Nationwide","Names":"AMCO Insurance Company|Allied Insurance Companies|Allied Property and Casualty Insurance Company|Crestbrook Insurance Company|Depositors Insurance Company","Aliases":"J1550|LV164","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.nationwide.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QINMX","PrimaryPayerId":"J1552","DisplayName":"Nationwide Affinity Insurance Company of America","Names":"Nationwide Insurance Companies|Nationwide Insurance Company of America|Nationwide Mutual Fire Company|Nationwide Mutual Insurance Company|Nationwide Property and Casualty Insurance Company","Aliases":"23787|J1552","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QVXWL","PrimaryPayerId":"QVXWL","DisplayName":"Nationwide Affinity Insurance Company of America – Workers Compensation","Names":"Nationwide Affinity Insurance Company of America (WC)","Aliases":"QVXWL","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZQBJB","PrimaryPayerId":"32787","DisplayName":"Nationwide Insurance Mitchell","Names":"Enlyte","Aliases":"32787|3490","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.enlyte.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UMSUL","PrimaryPayerId":"19191","DisplayName":"Native Care Health LLC","Names":"","Aliases":"00049|1814|19191","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.quapawtribe.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QDQKV","PrimaryPayerId":"1124013156","DisplayName":"Nature Coast Ems -Brms","Names":"Benefit & Risk Management Services","Aliases":"1124013156","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://brmsonline.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DGYAU","PrimaryPayerId":"NAVIA","DisplayName":"Navia Benefit Solutions","Names":"","Aliases":"NAVIA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.naviabenefits.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KLWIZ","PrimaryPayerId":"CB148","DisplayName":"NAWU Local 831","Names":"National Allied Workers Union Local 831","Aliases":"CB148","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.nawu831.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YDSAY","PrimaryPayerId":"J1359","DisplayName":"NBCUniversal","Names":"","Aliases":"J1359","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"STSUA","PrimaryPayerId":"75190","DisplayName":"NCAS","Names":"CareFirst Administrators/NCAS - Fairfax, VA|NCAS Fairfax Virginia|National Claims Administrative Services","Aliases":"1730|2914|75190|CFSAD|NCAS","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ncas.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CVTSH","PrimaryPayerId":"99843","DisplayName":"NEBA","Names":"Kroger Dallas Health and Welfare Plan|National Employee Benefits Administrators|UFCW Local 1000|United Food and Commercial Workers Local 1000","Aliases":"11856|2886|6059|8090|9213|99843","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.nebainc.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HETPU","PrimaryPayerId":"NERNL","DisplayName":"Nebraska Chronic Renal Disease","Names":"","Aliases":"6578|NERNL","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NE","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://dhhs.ne.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RCXIJ","PrimaryPayerId":"SKNE0","DisplayName":"Nebraska Medicaid","Names":"Medicaid Nebraska|Nebraska Department of Health and Human Services","Aliases":"10966|1476|1520|1520I|2154|7571|MCDNE|NEMCD|SKNE0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"WEEKS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"true","ClaimStatusInquiryEnrollmentType":"MULTI_STEP","ClaimStatusInquiryEnrollmentTimeframe":"WEEKS","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NE","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://dhhs.ne.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VYBDI","PrimaryPayerId":"25849","DisplayName":"NeighborHealth","Names":"East Boston Neighborhood Program of All-Inclusive Care for the Elderly|Neighborhood PACE","Aliases":"1260|25849|5507","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"MA","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.neighborhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XGRQR","PrimaryPayerId":"10151","DisplayName":"Neighborhood Health Partnership","Names":"Florida Neighborhood Health Partnership|NHP","Aliases":"10151","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"FL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"FIVMG","ParentPayerGroupName":"UnitedHealth Group","WebsiteUrl":"https://www.uhcprovider.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EKMFL","PrimaryPayerId":"96240","DisplayName":"Neighborhood Health Plan of Rhode Island (INTEGRITY)","Names":"NHPRI|Neighborhood Health Plan of Rhode Island (Medicare-Medicaid Plan)","Aliases":"7171|8612|96240|962400001","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"RI","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.nhpri.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LEXAK","PrimaryPayerId":"05047","DisplayName":"Neighborhood Health Plan of Rhode Island (Medicaid/Commercial)","Names":"NHPRI|Neighborhood Health Plan Rhode Island","Aliases":"05047|10630|2487|3645|RINHP","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"RI","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.nhpri.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GISTJ","PrimaryPayerId":"R3456","DisplayName":"Neighborhood Healthcare PACE","Names":"Neighborhood Healthcare Program of All-Inclusive Care for the Elderly","Aliases":"1859|3692|R3456","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"CA","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.nhpace.org","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZUQCF","PrimaryPayerId":"66055","DisplayName":"NetCare Life and Health Insurance","Names":"","Aliases":"4915|66055|7277","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"GU|FM","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.netcarelifeandhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QMDAQ","PrimaryPayerId":"IHS26","DisplayName":"Network Administrators","Names":"ClaimsBridge|Innovative Healthware Services","Aliases":"3493|9017|IHS26","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www2.claimsbridge.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GQLJD","PrimaryPayerId":"95737","DisplayName":"Network Health","Names":"Network Health","Aliases":"95737","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BQTMB","PrimaryPayerId":"39144","DisplayName":"Network Health Commercial","Names":"Network Health Plan","Aliases":"10706|1783|3574|39144|NETHP|NTWHL","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"WI","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"OGQUI","ParentPayerGroupName":"Network Health Group","WebsiteUrl":"https://networkhealth.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XAUZB","PrimaryPayerId":"77076","DisplayName":"Network Health Medicare","Names":"NHIC|Network Health Insurance Corporation Medicare|Network Health WI","Aliases":"1615|2102|77076|NHICMC","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"WI","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://networkhealth.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WTSTQ","PrimaryPayerId":"22344","DisplayName":"Network Health TPA","Names":"Exceedent LLC|Exceedent, LLC|Network Health","Aliases":"22344|7732|9681|NETWH","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"WI","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://networkhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ISUKB","PrimaryPayerId":"NSIPA","DisplayName":"Network Solutions Independent Practice Association","Names":"NSIPA","Aliases":"1159|1975|NSIPA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NY","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://nsipa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SUYQU","PrimaryPayerId":"NEUEH","DisplayName":"NeueHealth","Names":"","Aliases":"7035|9419|NEUEH","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.neuehealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DPQDL","PrimaryPayerId":"NDB01","DisplayName":"Nevada Dental Benefits","Names":"","Aliases":"NDB01|TLW58","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"NV","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.nevadadentalbenefits.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LJWUN","PrimaryPayerId":"95998","DisplayName":"New Avenues Incorporated","Names":"AllOne Health Resources","Aliases":"7714|95998","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://allonehealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZDSRS","PrimaryPayerId":"66893","DisplayName":"New England Financial","Names":"","Aliases":"66893","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RMCYE","PrimaryPayerId":"98798","DisplayName":"New Era Life Insurance","Names":"New Era Life Insurance Company|Philadelphia American Life Insurance Company","Aliases":"10991|1477|3973|75281|98798|NERAL|NWERAL","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"NE|TX","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://site.neweralife.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MTGQT","PrimaryPayerId":"R3481","DisplayName":"New Horizons PACE","Names":"EverTrue PACE","Aliases":"2264|2540|R3481","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"MO","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.evertrueliving.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YPUQK","PrimaryPayerId":"C1048","DisplayName":"New Jersey Manufacturing","Names":"New Jersey Manufacturers Insurance Company","Aliases":"6585|7742|C1048","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NJ","Programs":"AUTOMOBILE_MEDICAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.njm.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VPWHD","PrimaryPayerId":"12122","DisplayName":"New Jersey Manufacturing - Workers' Compensation","Names":"NJM Insurance","Aliases":"12122|7547|7757","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NJ","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.njm.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FZRSN","PrimaryPayerId":"J1875","DisplayName":"New Koosharem Corporation Select Staffing","Names":"","Aliases":"J1875","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VKMWM","PrimaryPayerId":"J3309","DisplayName":"New York Black Car Fund","Names":"","Aliases":"J3309","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.nybcf.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KVDWQ","PrimaryPayerId":"KVDWQ","DisplayName":"New York Black Car Fund – Workers Compensation","Names":"New York Black Car Fund (WC)","Aliases":"KVDWQ","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HWSNZ","PrimaryPayerId":"26992","DisplayName":"New York City Employees (NYCE) PPO Plan","Names":"NYCE PPO","Aliases":"16739|26992|3783|9055","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"NY","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.nyceppo.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JCVKT","PrimaryPayerId":"7707C","DisplayName":"New York Hotel Trade Council","Names":"New York Hotel Funds MHAP|New York Hotel Trades Council Employee Benefit Funds","Aliases":"7707|7707C|HTLFC|HTLFD","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"ONE_CLICK","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NY","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.hotelfunds.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SUXEX","PrimaryPayerId":"12X01","DisplayName":"New York Independent Health Assoc (IHA) - Western","Names":"","Aliases":"12X01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VWRNX","PrimaryPayerId":"12T69","DisplayName":"New York Life","Names":"","Aliases":"12T69","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.newyorklife.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YELCW","PrimaryPayerId":"NYDFS","DisplayName":"New York Medical Indemnity Fund","Names":"","Aliases":"9197|NYDFS","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NY","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.health.ny.gov/regulations/medical_indemnity_fund","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CSPZH","PrimaryPayerId":"GHMCR","DisplayName":"New York Medicare GHI","Names":"","Aliases":"GHMCR","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"DAYS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EBMGV","PrimaryPayerId":"11334","DisplayName":"New York Network Management","Names":"NYNM|New York Network IPA","Aliases":"11334|2169","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NY","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://nynmonline.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZKAGO","PrimaryPayerId":"14142","DisplayName":"New York State Department of Health Uninsured Care Programs","Names":"","Aliases":"14142|3665|5863","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NY","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.health.ny.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GALZU","PrimaryPayerId":"NEXLO","DisplayName":"Nexillo Health","Names":"","Aliases":"NEXLO","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.nexillohealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HTKLH","PrimaryPayerId":"0021583","DisplayName":"Next Generation MyCare Ohio - Buckeye","Names":"Next Generation MyCare Buckeye Community Health Plan","Aliases":"0021583|16729|21583|3817|9062|SKOH16|SKOH17","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"OH","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"RZIUK","ParentPayerGroupName":"Centene Corporation Group","WebsiteUrl":"https://www.buckeyehealthplan.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XENXY","PrimaryPayerId":"0021599","DisplayName":"Next Generation MyCare Ohio - CareSource","Names":"Caresource Ohio FIDE MyCare MCE|Next Generation MyCare CareSource","Aliases":"0021599|16732|21599|3819|9063|CDDENFIDE2|SKOH19|SKOH20|SKOH21","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.caresource.com/plans/mycare-snp","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DAQUG","PrimaryPayerId":"0021586","DisplayName":"Next Generation MyCare Ohio - Molina","Names":"Next Generation MyCare Molina Healthcare of Ohio Inc.","Aliases":"0021586|16733|21586|3821|9064|SKOH18","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"OH","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.molinahealthcare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VDUPN","PrimaryPayerId":"69821","DisplayName":"Next Level Health Partners","Names":"","Aliases":"69821|ZP3728","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JCOBS","PrimaryPayerId":"55892","DisplayName":"NextBlue of North Dakota","Names":"NextBlue|NextBlue of North Dakota Insurance Company","Aliases":"14438|5016|55892|8864|NBOND","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"ND","Programs":"","PtanRequired":"false","ParentPayerGroupId":"AWOCR","ParentPayerGroupName":"Blue Cross Blue Shield of Michigan Group","WebsiteUrl":"https://www.nextbluend.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DSLFW","PrimaryPayerId":"NHC01","DisplayName":"NHC Advantage","Names":"National HealthCare Corporation Advantage","Aliases":"1213|16595|3935|NHC01","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"MO|SC|TN","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"OGBXU","ParentPayerGroupName":"National Healthcare Corporation Group","WebsiteUrl":"https://nhcadvantageplan.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VKVZP","PrimaryPayerId":"NICE1","DisplayName":"Nice Healthcare","Names":"","Aliases":"NICE1","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"CO|MN|WI","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.nice.healthcare","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QZXFI","PrimaryPayerId":"81264","DisplayName":"Nippon Life Insurance Company","Names":"NLIA (Ningen Dock)|Nippon Life Benefits (NLIA)|Nippon Life Insurance Company of America","Aliases":"00057|6443|6539|81264|NIPON|NLICOA|RP130","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.nipponlifebenefits.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FADQP","PrimaryPayerId":"100229","DisplayName":"NJ FamilyCare","Names":"Medicaid New Jersey|New Jersey Medicaid","Aliases":"100229|10154|12006|1483|610515|CKNJ1|NJCAID|NJMCD|SKNJ0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"true","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"NJ","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://njfamilycare.dhs.state.nj.us","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EUCVT","PrimaryPayerId":"EUCVT","DisplayName":"Njm Insurance Group – Workers Compensation","Names":"Njm Insurance Group","Aliases":"EUCVT","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VYLDF","PrimaryPayerId":"1NOMI","DisplayName":"Nomi Health Gateway","Names":"","Aliases":"1NOMI|5037|66066|8885|NHPAY","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.nomihealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NPNUX","PrimaryPayerId":"J1845","DisplayName":"Nonprofit Insurance Trust","Names":"","Aliases":"J1845","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FXACP","PrimaryPayerId":"J1360","DisplayName":"Nordstrom Incorporated","Names":"","Aliases":"J1360","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WRSMU","PrimaryPayerId":"65085","DisplayName":"North American Administrators Nashville, Tennessee (Lucent Health)","Names":"Central Valley Medical Group|Cypress Benefits|Lucent Health - Nashville|Lucent Health - North America Administrators NAA|North American Administrators|North American Administrators Nashville, Tennessee (NAA)|North American Medical Management (NAMM) Northern California|North American Medical Management - Northern California","Aliases":"00066|1782|2931|2981|3812|39199|65085|E3510","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"true","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://lucenthealth.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CIUYF","PrimaryPayerId":"76112","DisplayName":"North American Insurance Company (Oxford Life)","Names":"","Aliases":"1160|16604|76112","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.oxfordlife.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZTFEW","PrimaryPayerId":"J1549","DisplayName":"North Bay Schools Insurance Authority (NBSIA)","Names":"","Aliases":"J1549","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.nbsia.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FHZXR","PrimaryPayerId":"74256","DisplayName":"North Carolina Department of Public Safety","Names":"NC DPS","Aliases":"1148|1580|74256","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NC","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ncdps.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GZDBM","PrimaryPayerId":"J1825","DisplayName":"North Carolina Farm Bureau","Names":"","Aliases":"J1825","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NC","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ncfb.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TVULB","PrimaryPayerId":"J1906","DisplayName":"North Carolina Guarantee Insurance Association","Names":"","Aliases":"J1906","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GYFKA","PrimaryPayerId":"TLY55","DisplayName":"North Carolina Health Choice","Names":"NCTracks","Aliases":"TLY55","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NC","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.nctracks.nc.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TFZEM","PrimaryPayerId":"J1772","DisplayName":"North Carolina League of Municipalities (NCLM)","Names":"","Aliases":"J1772","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NWBOA","PrimaryPayerId":"NCMCD","DisplayName":"North Carolina Medicaid","Names":"Medicaid North Carolina|NC Medicaid|NCDHHS","Aliases":"10156|12K23|1480|1561250855|2478|3564|377|7096|CKNC1|DNC00|NCMCD|NCTRACKS|SKNC0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"true","ClaimStatusInquiryEnrollmentType":"MULTI_STEP","ClaimStatusInquiryEnrollmentTimeframe":"DAYS","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"HOURS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"HOURS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"true","DentalClaimEnrollmentType":"MULTI_STEP","DentalClaimEnrollmentTimeframe":"HOURS","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"NC","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://medicaid.ncdhhs.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SABFU","PrimaryPayerId":"81004","DisplayName":"North Dakota Department of Human Resources","Names":"","Aliases":"81004","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XSXYS","PrimaryPayerId":"NEMS1","DisplayName":"North EAST Medical Services","Names":"North EAST Medical Services","Aliases":"NEMS1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://nemsmso.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VLWKD","PrimaryPayerId":"1730125709","DisplayName":"North East Mobile Health Services -Brms","Names":"Benefit & Risk Management Services","Aliases":"1730125709","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://brmsonline.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XSXQC","PrimaryPayerId":"46227","DisplayName":"North Shore Long Island Jewish CareConnect Insurance Company Incorporated","Names":"","Aliases":"46227","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GENZB","PrimaryPayerId":"NB123","DisplayName":"NorthBay Health","Names":"","Aliases":"3732|9036|NB123","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.northbay.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AZKNL","PrimaryPayerId":"RP089","DisplayName":"NorthCoast Health Care Management","Names":"","Aliases":"RP089","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.northcoastgroup.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KRHLI","PrimaryPayerId":"A2790","DisplayName":"Northcoast Healthcare","Names":"NorthCoast Health Care Management|NorthCoast Healthcare","Aliases":"5052|8897|A2790|A2790MA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.northcoastgroup.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LYWJB","PrimaryPayerId":"72690","DisplayName":"Northeast Iowa Area Agency","Names":"Northeast Iowa Area Agency on Aging","Aliases":"72690","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://nei3a.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JPTJP","PrimaryPayerId":"1932","DisplayName":"Northeast Medical Services (NEMS)","Names":"","Aliases":"1932|7847|NEMS","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://nemsmso.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VAINS","PrimaryPayerId":"NCA01","DisplayName":"Northern California Advantage Medical Group","Names":"","Aliases":"NCA01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YOSAP","PrimaryPayerId":"NCPG1","DisplayName":"Northern California Physicians Group","Names":"Northern California Physician Group","Aliases":"NCPG1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://procaremso.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CDKUE","PrimaryPayerId":"TLW42","DisplayName":"Northern California Pipe Trades Trust Funds","Names":"NCPTTF|UA Local 342","Aliases":"TLW42","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ua342.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IKDZQ","PrimaryPayerId":"J1923","DisplayName":"Northern Claims Management","Names":"","Aliases":"J1923","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NOHKR","PrimaryPayerId":"36347","DisplayName":"Northern Illinois Health Plan","Names":"NIHP","Aliases":"00192|2291|36347|8969","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IL","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.nihp.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RBFRV","PrimaryPayerId":"J1943","DisplayName":"Northern Kentucky University","Names":"","Aliases":"J1943","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IJMZT","PrimaryPayerId":"PHMD1","DisplayName":"Northern Plains Preferred Health Plan Commercial","Names":"NP PHP Commercial","Aliases":"8797|PHMD1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DZVKX","PrimaryPayerId":"PHMD2","DisplayName":"Northern Plains Providence Health Plan Medicare","Names":"","Aliases":"8798|PHMD2","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YULYF","PrimaryPayerId":"PHMD3","DisplayName":"Northern Plains Providence Health Plan OHP","Names":"HealthShare of Oregon|Northwest Physicians PHP OHP|Oregon Health Plan|Providence Health Assurance|Providence Health Plan","Aliases":"8799|PHMD3","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"OR","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.providencehealthplan.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VLGDI","PrimaryPayerId":"C1031","DisplayName":"Northland Auto","Names":"Northland Insurance|The Travelers Indemnity Company","Aliases":"C1031","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"AUTOMOBILE_MEDICAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.northlandins.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RLGLC","PrimaryPayerId":"88987","DisplayName":"Northwell Direct","Names":"","Aliases":"16572|2881|8084|88987","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NY","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://northwelldirect.northwell.edu","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QUJYH","PrimaryPayerId":"NWADM","DisplayName":"Northwest Administrators","Names":"Northwest Administrators Inc|Washington Teamsters Welfare Trust","Aliases":"11038|6293|91060|NRWAD|NWADM","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"CA|NV|OR|WA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.nwadmin.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TRCHT","PrimaryPayerId":"77684","DisplayName":"Northwest Administrators","Names":"Las Vegas Firefighters Health and Welfare Trust|NWA|NWAdmin","Aliases":"6017|77684|9164","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NV","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.nwadmin.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZWKVI","PrimaryPayerId":"93525","DisplayName":"Northwest Dental Services","Names":"DentaQuest|Northwest Dental Services","Aliases":"93525","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.advantagedentalservices.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GZMFK","PrimaryPayerId":"J1361","DisplayName":"Northwest Insurance","Names":"","Aliases":"J1361","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EKGDB","PrimaryPayerId":"36346","DisplayName":"Northwest Suburban IPA Illinois (CCMSI)","Names":"CCMSI|Midland Management Company of Illinois|Northwest Suburban Independent Practice Association Illinois","Aliases":"36346|3736|7064","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ccmsi.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JWLVO","PrimaryPayerId":"NWEST","DisplayName":"Northwestern Medicine Physicians Network","Names":"","Aliases":"8894|NWEST","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GQDJE","PrimaryPayerId":"NWOOD","DisplayName":"Northwood Healthcare","Names":"","Aliases":"7860|NWOOD","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://northwoodinc.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VZKJD","PrimaryPayerId":"1275528812","DisplayName":"Norwichtown Rehabilitation - Ihp","Names":"Norwichtown Rehabilitation - Ihp","Aliases":"1275528812","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"CT","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://norwichtownrehab.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UKVUA","PrimaryPayerId":"J1089","DisplayName":"Norwood","Names":"","Aliases":"J1089","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UYQGR","PrimaryPayerId":"16644","DisplayName":"Nova Healthcare Administrators","Names":"","Aliases":"10537|16644|5486|7583|NOVAHC","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"NY","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.novahealthcare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XNYEH","PrimaryPayerId":"92081","DisplayName":"NovaOne","Names":"NovaOne Blue Cross Blue Shield Oklahoma|NovaOne Blue Cross and Blue Shield of Illinois|NovaOne Blue Cross and Blue Shield of Montana|NovaOne Blue Cross and Blue Shield of New Mexico|NovaOne Blue Cross and Blue Shield of Texas|NovaWell","Aliases":"92081","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.novaonehealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NMAOH","PrimaryPayerId":"J1056","DisplayName":"NovaPro Risk Solutions","Names":"Nova Pro Risk Solutions","Aliases":"J1056","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GDJKJ","PrimaryPayerId":"RP138","DisplayName":"NueHealth","Names":"","Aliases":"2880|8083|RP138","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.nuehealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WPGJK","PrimaryPayerId":"WPGJK","DisplayName":"NY CITY POLICE DEPARTMENT NYPD – Workers Compensation","Names":"NY CITY POLICE DEPARTMENT NYPD","Aliases":"WPGJK","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZVFDH","PrimaryPayerId":"ZVFDH","DisplayName":"NYC Law Department – Workers Compensation","Names":"New York City Law Department","Aliases":"ZVFDH","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"GA|NJ|NY","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.nyc.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VLXZQ","PrimaryPayerId":"VLXZQ","DisplayName":"NYC TRANSIT (NEW YORK MTA) – Workers Compensation","Names":"NYC TRANSIT (NEW YORK MTA)","Aliases":"VLXZQ","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PSITZ","PrimaryPayerId":"45052","DisplayName":"NYSIF","Names":"New York State Insurance Fund","Aliases":"45052","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NY","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://ww3.nysif.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XQZGV","PrimaryPayerId":"XQZGV","DisplayName":"NYSIF – Workers Compensation","Names":"NYSIF (WC)","Aliases":"XQZGV","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NY","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://ww3.nysif.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OFTAB","PrimaryPayerId":"J1670","DisplayName":"O'Reilly Auto Parts","Names":"","Aliases":"J1670","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://corporate.oreillyauto.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VOQSM","PrimaryPayerId":"OAKST","DisplayName":"Oak Street Health","Names":"","Aliases":"4002|8725|OAKST","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.oakstreethealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SHWVG","PrimaryPayerId":"36400","DisplayName":"Oak West Physician Association","Names":"","Aliases":"36400|7245|8664|NAOAK","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FDANC","PrimaryPayerId":"50653","DisplayName":"Occupational Eyewear Network Incorporated","Names":"","Aliases":"50653|7257","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PQPWP","PrimaryPayerId":"PQPWP","DisplayName":"OCCUSURE (JOHNSTON & ASSOCIATES/COMPASS) – Workers Compensation","Names":"OCCUSURE (JOHNSTON & ASSOCIATES/COMPASS)","Aliases":"PQPWP","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BSEUP","PrimaryPayerId":"A5236","DisplayName":"Ochsner Health Plan","Names":"","Aliases":"7022|9406|A5236","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"LA","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://ochsnerhealthplan.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FTOKO","PrimaryPayerId":"OBA18","DisplayName":"Ogden & Co.","Names":"Ogden & Co. Insurance and Consulting Services|Ogden Benefits Administration","Aliases":"5610|6243|OBA18","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ogdenbenefits.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SWGYB","PrimaryPayerId":"BCMHODH","DisplayName":"Ohio Bureau for Children with Medical Handicps (BCMH)","Names":"Ohio Bureau of Children with Medical Handicaps","Aliases":"4792|5928|BCMHODH","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://odh.ohio.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PHYVG","PrimaryPayerId":"24074","DisplayName":"Ohio Casualty Group","Names":"Liberty Mutual Insurance","Aliases":"24074","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"31-0396250","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.libertymutualgroup.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VMAXQ","PrimaryPayerId":"OHIOAGING","DisplayName":"Ohio Department of Aging","Names":"","Aliases":"CSS|OHIOAGING|PAA1|PAA10A|PAA10B|PAA11|PAA2|PAA3|PAA4|PAA5|PAA6|PAA7|PAA8|PAA9","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"OH","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://aging.ohio.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ALPYV","PrimaryPayerId":"34189","DisplayName":"Ohio Health Choice","Names":"","Aliases":"1860|34189|7553","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"OH","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ohiohealthchoice.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZDGWV","PrimaryPayerId":"4202V","DisplayName":"Ohio Medicaid Buckeye Vision","Names":"Centene","Aliases":"4202V|7091|9704","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"OH","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.buckeyehealthplan.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FVDBM","PrimaryPayerId":"74431","DisplayName":"Ohio PPO Connect","Names":"","Aliases":"4640|6159|74431","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"OH","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ohioppoconnect.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OKBHI","PrimaryPayerId":"48116","DisplayName":"OhioHealthy","Names":"OhioHealth","Aliases":"1838|3652|48116|5472","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"OH","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ohiohealthyplans.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PDHIR","PrimaryPayerId":"71065","DisplayName":"Oklahoma Department of Corrections","Names":"Healthchoice Dept of Corrections and Rehab|Oklahoma DRS|Oklahoma Department of Corrections Department of Rehabilitative Services|Oklahoma Department of Rehabilitative Services","Aliases":"71065|7513|7750","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"OK","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://oklahoma.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SMFJR","PrimaryPayerId":"24147","DisplayName":"Old Republic Insurance Company","Names":"","Aliases":"24147","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QYLHS","PrimaryPayerId":"29237","DisplayName":"Old Surety Life","Names":"Old Surety Life Insurance Company","Aliases":"29237|3001|8250|OSLIC","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"OK","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"ARSBN","ParentPayerGroupName":"Enterprise Investments Group","WebsiteUrl":"https://oldsurety.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HSQMG","PrimaryPayerId":"36090","DisplayName":"Omni Independent Practice Association (IPA)","Names":"Omni Independent Practice Association","Aliases":"1747|1949|36090","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XVAPA","PrimaryPayerId":"OMN02","DisplayName":"OmniCare Medical Group (Omni)","Names":"AltaMed Health Services Corporation|Altura MSO|Omnicare Medical Group (Omni)","Aliases":"1745|25150|OMN02","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.omnicaremedicalgroup.org","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BHVXD","PrimaryPayerId":"99485","DisplayName":"On Lok PACE ","Names":"On Lok Program of All-Inclusive Care for the Elderly|On Lok Senior Health Services Incorporated","Aliases":"7719|9660|99485","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.onlok.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EYZBG","PrimaryPayerId":"ONOCI","DisplayName":"Oncology Network Orange County","Names":"","Aliases":"8740|ONOCI","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HXSXQ","PrimaryPayerId":"OPNC1","DisplayName":"Oncology Physicians Network of CA","Names":"OPN Healthcare","Aliases":"8165|OPNC1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://opnhc.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KDOZT","PrimaryPayerId":"80019","DisplayName":"One Call","Names":"Medical Service Company Group Incorporated (MSC)|One Call Care Management|One Call Durable Medical Equipment","Aliases":"6079|80019|9238","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://onecallcm.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VUIFQ","PrimaryPayerId":"22321","DisplayName":"One Call","Names":"One Call Medical","Aliases":"22321|3696|4254","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://onecallcm.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GULRN","PrimaryPayerId":"J3941","DisplayName":"One Call Medical Diagnostic","Names":"One Call Medical - Diagnostic","Aliases":"J3941","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZXRIH","PrimaryPayerId":"95379","DisplayName":"One Health Plan California","Names":"Key Benefit Administrators|One Health Plan|OneHealthPlan","Aliases":"95379","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://onehealthplan.net","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LBYUC","PrimaryPayerId":"95388","DisplayName":"One Health Plan Illinois","Names":"","Aliases":"95388","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NMJXS","PrimaryPayerId":"95569","DisplayName":"One Health Plan of Georgia","Names":"Cigna|One Health Plan Georgia","Aliases":"95569","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"GA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"BDKOJ","ParentPayerGroupName":"Cigna","WebsiteUrl":"https://www.cigna.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MVENW","PrimaryPayerId":"ONEHC","DisplayName":"One HomeCare Solutions","Names":"","Aliases":"1677|2135|ONEHC","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.onehome.health","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KJEMN","PrimaryPayerId":"20621","DisplayName":"OneBeacon","Names":"One Beacon","Aliases":"20621","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.intactspecialty.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WSBEM","PrimaryPayerId":"C1026","DisplayName":"OneBeacon Insurance Auto","Names":"","Aliases":"C1026","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BRTSW","PrimaryPayerId":"DX111","DisplayName":"OneDigital","Names":"Benedent|Benemax","Aliases":"00333|1849|BMX01|DX111|GHPVZ","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.onedigital.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JIRTF","PrimaryPayerId":"95280","DisplayName":"Ontrak Health","Names":"","Aliases":"95280","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EUSBZ","PrimaryPayerId":"BPA01","DisplayName":"OPEIU Locals 30 & 537 Trust Funds","Names":"Laundry Workers|Office and Professional Employees International Union (OPEIU) Locals 30 and 536|Southern California Dairy|Southern California Lumber|Transportation Communications Union Los Angeles Metropolitan Transit Authority","Aliases":"7122|BPA01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"http://www.opeiufunds.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WXWLV","PrimaryPayerId":"OPNWX","DisplayName":"Open Networks","Names":"","Aliases":"OPNWX","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KSLUE","PrimaryPayerId":"66771","DisplayName":"Operating Engineers Local 139 Health Benefit Fund","Names":"","Aliases":"66771","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"WI","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://iuoe139healthfund.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PLPXD","PrimaryPayerId":"ZP1443","DisplayName":"Operating Engineers Trust Funds","Names":"Operating Engineers Trust Funds","Aliases":"ZP1443","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DZLKX","PrimaryPayerId":"ZP4050","DisplayName":"Optima Health Plan","Names":"Optima Health Plan","Aliases":"ZP4050","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZPWSK","PrimaryPayerId":"96277","DisplayName":"OptiMedHealth","Names":"CarynHealth|Optimed Health","Aliases":"3032|8283|96277","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.optimedhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MNYSB","PrimaryPayerId":"20133","DisplayName":"Optimum Healthcare","Names":"Optimum Healthcare Incorporated|Optimum Healthcare, Incorporated|Wellpoint","Aliases":"14460|20133|20133MA|4227|4680","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"FL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.youroptimumhealthcare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HPSXV","PrimaryPayerId":"37125","DisplayName":"Option Services Group","Names":"","Aliases":"37125","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QOQWQ","PrimaryPayerId":"IP079","DisplayName":"Optum","Names":"Coachella Valley Physicians|Empire Physicians Medical Group|Mercy Physicians Medical Group|NAMM California|North American Medical Management|Primary Care Associates Medical Group|PrimeCare Medical Group of Chino Valley|PrimeCare Medical Network|PrimeCare Medical Network Chino|PrimeCare Medical Network Citrus Valley|PrimeCare Medical Network Corona|PrimeCare Medical Network Hemet|PrimeCare Medical Network Inland Valley|PrimeCare Medical Network Moreno Valley|PrimeCare Medical Network NAMM|PrimeCare Medical Network Redlands|PrimeCare Medical Network Riverside|PrimeCare Medical Network San Bernardino|PrimeCare Medical Network Sun City|PrimeCare Medical Network Temecula|Riverside Physicians Network|Valley Physicians Network","Aliases":"1619|1809|2765|EMP01|IP079|ORXM1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"FIVMG","ParentPayerGroupName":"UnitedHealth Group","WebsiteUrl":"https://www.nammcal.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SXRHP","PrimaryPayerId":"41194","DisplayName":"Optum - Complex Medical Conditions (CMC)","Names":"OptumHealth Care Solutions|United Resource Networks","Aliases":"3824|41194|41194MA|9513|UNTDRN","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"FIVMG","ParentPayerGroupName":"UnitedHealth Group","WebsiteUrl":"","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HSBRL","PrimaryPayerId":"45967","DisplayName":"Optum Beaver Medical Group","Names":"Epic Management","Aliases":"1967|45967|6275","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.epicmanagementlp.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HSOFZ","PrimaryPayerId":"APP01","DisplayName":"Optum California","Names":"Alliance Physicians Medical Group|AppleCare Medical Management|Downey Select Independent Practice Association|St. Francis Independent Practice Association","Aliases":"3071|4152|APP01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.optum.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AJZWO","PrimaryPayerId":"LIFE1","DisplayName":"Optum Care Network","Names":"Lifeprint Network|Optum Care Network KS-MO|Optum Medical Network|OptumCare","Aliases":"14456|4608|6101|LFPRT|LIFE1|LIFE1MA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"FIVMG","ParentPayerGroupName":"UnitedHealth Group","WebsiteUrl":"https://www.optum.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ISVMZ","PrimaryPayerId":"OCN01","DisplayName":"Optum Care Network","Names":"Alliance Independent Practice Association|Arta Western|Greater Valley|Harrimon Jones|Healthcare Partners|Magan Medical Clinic|Memorial Medical Group|Northridge Medical Group|Physicians Associates of the Greater San Gabriel Valley|Talbert Medical Group|Unified Independent Practice Association","Aliases":"2940|4730|NMG01|OCN01|TALMG","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MCPKR","PrimaryPayerId":"IP095","DisplayName":"Optum Care Network - Monarch IPA","Names":"Acclaim Independent Practice Association|Anaheim Memorial Independent Practice Association (MHCAN)|Long Beach Memorial Independent Practice Association (MHCAN)|Memorial Healthcare Independent Practice Association|Monarch Independent Practice Association|Orange Coast Memorial Independent Practice Association","Aliases":"2475|6606|IP095|MHIPA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZNIZJ","PrimaryPayerId":"00773","DisplayName":"Optum Health Vision","Names":"OptumHealth Vision|Spectera UnitedHealthcare Vision|UnitedHealthcare Vision","Aliases":"00773|14502|5891","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"true","ClaimStatusInquiryEnrollmentType":"ONE_CLICK","ClaimStatusInquiryEnrollmentTimeframe":"DAYS","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"FIVMG","ParentPayerGroupName":"UnitedHealth Group","WebsiteUrl":"https://www.uhcprovider.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QTABF","PrimaryPayerId":"OMMSX","DisplayName":"Optum Managed Medicaid Service","Names":"","Aliases":"OMMSX","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AUNUA","PrimaryPayerId":"95271","DisplayName":"Optum Pinnacle Medical Group","Names":"","Aliases":"1106|3945|95271","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://pmg.optum.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OSBLI","PrimaryPayerId":"U6885","DisplayName":"Optum Salt Lake County","Names":"Optum Behavioral Health SLCO|Optum Behavioral Health Salt Lake County|Optum Salt Lake County Public Sector|OptumHealth Salt Lake County","Aliases":"6602|6886|HT006885-001|U6885","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"ONE_CLICK","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"FIVMG","ParentPayerGroupName":"UnitedHealth Group","WebsiteUrl":"https://www.optumhealthslco.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GUICO","PrimaryPayerId":"SBMED","DisplayName":"Optum San Bernardino Medical Group","Names":"San Bernardino Medical Group","Aliases":"1294|SBMED","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"FIVMG","ParentPayerGroupName":"UnitedHealth Group","WebsiteUrl":"https://www.optum.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GEZCK","PrimaryPayerId":"COHOSP","DisplayName":"Optum San Diego County Funded Hospital","Names":"","Aliases":"9072|COHOSP","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZWJEL","PrimaryPayerId":"CNTY1","DisplayName":"Optum San Diego Public Sector","Names":"","Aliases":"3491|9070|CNTY1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"FIVMG","ParentPayerGroupName":"UnitedHealth Group","WebsiteUrl":"https://www.optumsandiego.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DQVEW","PrimaryPayerId":"OSDPS","DisplayName":"Optum San Diego Public Sector Behavioral Health","Names":"","Aliases":"8038|9756|OSDPS","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.optumsandiego.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EVEBE","PrimaryPayerId":"CFWMC","DisplayName":"Optum San Diego Public Sector CFWB Medi-Cal","Names":"","Aliases":"3873|CFWMC","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"FIVMG","ParentPayerGroupName":"UnitedHealth Group","WebsiteUrl":"https://www.optumsandiego.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZDXPK","PrimaryPayerId":"CFWB1","DisplayName":"Optum San Diego Public Sector Child and Family Well-Being","Names":"","Aliases":"3872|CFWB1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"FIVMG","ParentPayerGroupName":"UnitedHealth Group","WebsiteUrl":"https://www.optumsandiego.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WDLXM","PrimaryPayerId":"COSNF","DisplayName":"Optum San Diego Skilled Nursing Facility","Names":"","Aliases":"9071|COSNF","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FXHDK","PrimaryPayerId":"E3287","DisplayName":"OptumCare Network Connecticut","Names":"Optum Care Network Connecticut","Aliases":"E3287|E3287MA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VRJMO","PrimaryPayerId":"41161","DisplayName":"OptumHealth Physical Health","Names":"American Chiropractic IPA of New York|American Chiropractic Network|Optum Chiropractic|Optum Health Physical Health|Oxford","Aliases":"3784|41160|41161|YHRIM","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NATIONAL","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"FIVMG","ParentPayerGroupName":"UnitedHealth Group","WebsiteUrl":"https://www.myoptumhealthphysicalhealth.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TOUWQ","PrimaryPayerId":"20356","DisplayName":"Oracle","Names":"Cerner HealthPlan Services|Healthe Exchange|The Health Exchange Cerner Corporation","Aliases":"10597|11018|20356|2408|HLTHEX|JDLUF|THEXI","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.oracle.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RYMXF","PrimaryPayerId":"77125","DisplayName":"Orange County Correctional Health Services","Names":"OC Health Care Agency|OCCH|Orange County Corrections|Orange County Health Services Department Corrections","Aliases":"7078|77125|9480","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ochealthinfo.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ATLYG","PrimaryPayerId":"J1876","DisplayName":"Orange County Fire Authority","Names":"","Aliases":"J1876","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VKBZL","PrimaryPayerId":"69879","DisplayName":"Orange County Health Care Agency - Ryan White Program","Names":"County of Orange|OCRW","Aliases":"65021|6860|69879|7079|7640|9481","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ochealthinfo.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BRYXK","PrimaryPayerId":"75232","DisplayName":"OrchestrateHR","Names":"Employers Direct Health","Aliases":"1857|75232|8992","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://orchestratehr.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WAFNU","PrimaryPayerId":"75235","DisplayName":"OrchestrateHR Florida","Names":"Employers Direct Health - Florida","Aliases":"3241|3961|75235","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://orchestratehr.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LJSPA","PrimaryPayerId":"75233","DisplayName":"OrchestrateHR SF","Names":"Employers Direct Health SF","Aliases":"2218|3996|75233","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://orchestratehr.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YTZWJ","PrimaryPayerId":"77150","DisplayName":"Oregon Health Authority - HRSN","Names":"","Aliases":"1884|77150","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"OR","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.oregon.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LAZTZ","PrimaryPayerId":"J1090","DisplayName":"Orica","Names":"Orica Incorporated","Aliases":"J1090","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ASVUF","PrimaryPayerId":"13382","DisplayName":"Orthonet Uniformed Services Family Health Plan","Names":"Orthonet US Family Health Plan","Aliases":"13382|6221","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"FIVMG","ParentPayerGroupName":"UnitedHealth Group","WebsiteUrl":"https://www.orthonet-online.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TAZWT","PrimaryPayerId":"OSCAR","DisplayName":"Oscar Health","Names":"","Aliases":"10881|7468|9638|OSCAR|OSCARMA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"AL|AZ|FL|GA|IL|IA|KS|MI|MS|MO|NE|NJ|NY|NC|OH|OK|PA|TN|TX|VA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"VNFAM","ParentPayerGroupName":"Oscar Health","WebsiteUrl":"https://www.hioscar.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FDCIL","PrimaryPayerId":"OSFMC","DisplayName":"OSF Care Advantage","Names":"OSF Health Plan Care Advantage|OSF HealthCare","Aliases":"OSFMC","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IL|MI","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.osfhealthcare.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WUEZU","PrimaryPayerId":"62171","DisplayName":"OSF Health Plan","Names":"","Aliases":"62171","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EMARQ","PrimaryPayerId":"OSFE9","DisplayName":"OSF Healthcare East","Names":"","Aliases":"1072|8100|OSFE9","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.osfhealthcare.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OPFLK","PrimaryPayerId":"J1904","DisplayName":"OSI Group LLC","Names":"","Aliases":"J1904","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DFILI","PrimaryPayerId":"OSUAE","DisplayName":"OSU Aetna Better Health","Names":"","Aliases":"2877|8082|OSUAE","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"ONE_CLICK","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"ONE_CLICK","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NBLIV","PrimaryPayerId":"OSUCE","DisplayName":"OSU Centene Oklahoma Complete Health","Names":"","Aliases":"2828|OSUCE","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"ONE_CLICK","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RZXHT","PrimaryPayerId":"OSUHU","DisplayName":"OSU Humana Healthy Horizons","Names":"","Aliases":"2799|OSUHU","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"ONE_CLICK","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"OK","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://provider.humana.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LGHNF","PrimaryPayerId":"OLRMC","DisplayName":"Our Lady of the Lake Regional Medical Center","Names":"","Aliases":"6707|OLRMC","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JZSBU","PrimaryPayerId":"RP133","DisplayName":"Oxbridge Health","Names":"","Aliases":"3212|8502|RP133","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.oxbridgehealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CYRGF","PrimaryPayerId":"06111","DisplayName":"Oxford","Names":"Oxford Health Plans|UnitedHealthcare Oxford","Aliases":"06111|06111MA|10161|6111|6485|6549|OXFORD","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"CT|NJ|NY","Programs":"","PtanRequired":"false","ParentPayerGroupId":"FIVMG","ParentPayerGroupName":"UnitedHealth Group","WebsiteUrl":"https://www.uhcprovider.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JBAJC","PrimaryPayerId":"OXDLF","DisplayName":"Oxford Life Insurance","Names":"","Aliases":"14436|OXDLF","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://oxfordlife.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ILCIQ","PrimaryPayerId":"58375","DisplayName":"P3 Health Partners Arizona","Names":"","Aliases":"2021|58375|8156","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"AZ","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://p3hp.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XGJKC","PrimaryPayerId":"P3HNV","DisplayName":"P3 Health Partners Nevada","Names":"P3 Health Partners Nevada","Aliases":"P3HNV","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://p3hp.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TQKXV","PrimaryPayerId":"R3469","DisplayName":"PACE at Hudson Headwaters","Names":"","Aliases":"3726|9034|R3469","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NY","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.pacehh.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GEDQW","PrimaryPayerId":"R3466","DisplayName":"PACE at LCHC","Names":"Lawndale Christian Health Center|Lawndale PACE|Lawndale Program of All-Inclusive Care for the Elderly","Aliases":"R3466","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"IL","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://lawndale.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WRMKD","PrimaryPayerId":"2556G ","DisplayName":"PACE by Innercare","Names":"","Aliases":"2556G|2556G ","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"CA","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://pacebyinnercare.org","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NGQZR","PrimaryPayerId":"8258","DisplayName":"PACE Central New York","Names":"Loretto|PACE CNY|Program of All-Inclusive Care for the Elderly Central New York","Aliases":"3010|70454|8258","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NY","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://pacecny.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XPHOK","PrimaryPayerId":"R3461","DisplayName":"PACE Greater New Orleans","Names":"Catholic Charities Archdiocese of New Orleans|PACE GNO|Program of All-Inclusive Care for the Elderly (PACE) Greater New Orleans|Program of All-Inclusive Care for the Elderly Greater New Orleans","Aliases":"4121|9093|R3461","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"LA","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://pacegno.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FNVKO","PrimaryPayerId":"R3462","DisplayName":"PACE KC","Names":"Program of All-Inclusive Care for the Elderly Kansas City|Swope Health ","Aliases":"R3462","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"MO","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://pacekc.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PUHCK","PrimaryPayerId":"91922","DisplayName":"PACE Northeast Michigan","Names":"","Aliases":"91922","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"MI","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.pacenemi.org","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HQOQW","PrimaryPayerId":"45114","DisplayName":"PACE of Southwest Michigan","Names":"Program of All-Inclusive Care for the Elderly (PACE) of Southwest Michigan Incorporated|Program of All-Inclusive Care for the Elderly of Southwest Michigan Incorporated","Aliases":"1150|1586|45114","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"MI","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.paceswmi.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LFLUC","PrimaryPayerId":"R3484","DisplayName":"PACE of SouthWest Michigan","Names":"","Aliases":"R3484","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"MI","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.paceswmi.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TRDPS","PrimaryPayerId":"TRIA01","DisplayName":"PACE of the Triad","Names":"PACE OF THE Triad","Aliases":"3861|9083|TRIA01|TRIA1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NC","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.pacetriad.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MLDJD","PrimaryPayerId":"R3460","DisplayName":"PACE Southeast Michigan","Names":"Southeast Michigan PACE|Southeast Michigan Program of All-Inclusive Care for the Elderly","Aliases":"8980|R3460","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"MI","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.pacesemi.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JSNOT","PrimaryPayerId":"98472","DisplayName":"PACE Your LIFE","Names":"","Aliases":"3204|8099|98472","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"DE","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://paceyourlifemwv.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PUOQK","PrimaryPayerId":"PCFAD","DisplayName":"Pacific Administrators","Names":"","Aliases":"00184|9253|PCFAD","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"HI","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://pacadmin.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CDSMS","PrimaryPayerId":"73624","DisplayName":"Pacific Benefits Services Oregon Peninsula Airways","Names":"Professional Benefit Services Oregon Peninsula Airways","Aliases":"73624","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PDEZS","PrimaryPayerId":"J1808","DisplayName":"Pacific Coast Building Products","Names":"","Aliases":"J1808","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RNEDM","PrimaryPayerId":"J1913","DisplayName":"Pacific Compensation Insurance Company","Names":"","Aliases":"J1913","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WCKXT","PrimaryPayerId":"J1806","DisplayName":"Pacific Dental Services","Names":"","Aliases":"J1806","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SEBQF","PrimaryPayerId":"J1916","DisplayName":"Pacific Gas and Electric 115","Names":"Pacific Gas and Electric 115","Aliases":"J1916","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KVCEV","PrimaryPayerId":"PACLF","DisplayName":"Pacific Life","Names":"Pacific Life & Annuity Company|Pacific Life Insurance Company","Aliases":"PACLF","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|vision","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.pacificlife.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ECOYD","PrimaryPayerId":"J1364","DisplayName":"Pacific Motor Company","Names":"","Aliases":"J1364","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MKVKE","PrimaryPayerId":"A0062","DisplayName":"Pacific Partners Management Services","Names":"HCA Healthcare|PPMSI|Pacific Partners Management Services Incorporated","Aliases":"A0062","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ppmsi.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ECONW","PrimaryPayerId":"75309","DisplayName":"Pacific Southwest Administrators","Names":"PSWA","Aliases":"1202|3529|75309","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.pswadmin.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RJERD","PrimaryPayerId":"J1805","DisplayName":"Pacific Sunwear","Names":"","Aliases":"J1805","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PVDQJ","PrimaryPayerId":"CX056","DisplayName":"Pacific Union Dental","Names":"Dental Benefit Providers of California|Pacific Union (California)","Aliases":"CX056","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"FIVMG","ParentPayerGroupName":"UnitedHealth Group","WebsiteUrl":"https://www.dbp.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SIPNX","PrimaryPayerId":"MPM50","DisplayName":"Pacifica of the Valley Hospital","Names":"MedPOINT Management","Aliases":"MPM50","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medpointmanagement.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QDINL","PrimaryPayerId":"93029","DisplayName":"PacificSource","Names":"PacificSource (Commercial)|PacificSource Health Plans","Aliases":"10375|5441|6575|93029|COIHS|PSHLTH","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"ID|MT|OR|WA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"BDGJP","ParentPayerGroupName":"PacificSource Health Plan Group","WebsiteUrl":"https://pacificsource.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CBZNI","PrimaryPayerId":"93031","DisplayName":"PacificSource Administrators","Names":"Select Benefit Administrators Incorporated","Aliases":"11177|5805|93031","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"AL|ID|MT|OR","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://pacificsource.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IVMAV","PrimaryPayerId":"20416","DisplayName":"PacificSource Community Solutions","Names":"PacificSource (Medicaid)","Aliases":"11091|20416|4794|4972|PSCSO|PSCSOL","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"OR","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"BDGJP","ParentPayerGroupName":"PacificSource Health Plan Group","WebsiteUrl":"https://pacificsource.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DGFOW","PrimaryPayerId":"20377","DisplayName":"PacificSource Medicare","Names":"","Aliases":"11178|20377|20377MA|4627|6147|PSMED","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"ID|MT|OR","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://medicare.pacificsource.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZLGYZ","PrimaryPayerId":"PAI03","DisplayName":"PAI","Names":"Pool Administrators","Aliases":"8074|PAI03","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.pooladmin.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DIDLU","PrimaryPayerId":"53483","DisplayName":"Painter's Union Insurance, Pension & Vacation Funds","Names":"Painters Union Insurance Fund|Painters Union Pension Fund","Aliases":"3030|53483|8279","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://portal.issisystems.com/isite189/eremit.dll/18901/cmpub.asp?name=index.htm","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QFUQA","PrimaryPayerId":"J1827","DisplayName":"Paladin ISL","Names":"Paladin Insurance Services Limited","Aliases":"J1827","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PDBAX","PrimaryPayerId":"J1475","DisplayName":"Paladin Managed Care Services Incorporated","Names":"","Aliases":"J1475","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JALRM","PrimaryPayerId":"PA066","DisplayName":"Pan-American Insurance Company","Names":"","Aliases":"9263|PA066","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZWHJF","PrimaryPayerId":"04218","DisplayName":"Pan-American Life Insurance Group","Names":"Pan American Life Insurance Group|Pan American Life Puerto Rico (PALIC)|Panamerican Palic Puerto Rico|Pan‑American Accident & Health","Aliases":"00084|04218|11114|6861|7642|L0180|PAMPR|PNAIC","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://palig.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PKZCH","PrimaryPayerId":"R3465","DisplayName":"Panorama","Names":"Esperanza PACE|Esperanza Program of All-Inclusive Care for the Elderly","Aliases":"R3465","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IL","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.esperanzachicago.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KFHGR","PrimaryPayerId":"J1091","DisplayName":"Papa John's International Incorporated","Names":"Papa John’s International Incorporated","Aliases":"J1091","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RDRWI","PrimaryPayerId":"J1001","DisplayName":"Paradigm","Names":"Adva-net","Aliases":"00142|00178|9190|ADVAN|J1001|ZP4598","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XPZLX","PrimaryPayerId":"IHS45","DisplayName":"Paradigm Administrators","Names":"","Aliases":"IHS45","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://paradigmadmin.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SYHZA","PrimaryPayerId":"58174","DisplayName":"Paragon Benefits","Names":"Paragon Benefits Inc","Aliases":"58174|6020|9168","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.paragonbenefits.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FGEUD","PrimaryPayerId":"PARLN","DisplayName":"Parallon-RCPS","Names":"HCA Healthcare","Aliases":"8803|PARLN","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://parallon.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XSVWC","PrimaryPayerId":"SX158","DisplayName":"Paramount","Names":"HRI Dental and Vision|Health Resources Inc|Paramount Care|Paramount Health|Paramount Healthcare","Aliases":"10854|3275|5977|CX019|PRMNT|SX158|SX158MA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"MI|OH","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.paramounthealthcare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HANSG","PrimaryPayerId":"PMIPA","DisplayName":"Paramount IPA","Names":"","Aliases":"PMIPA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VZSGA","PrimaryPayerId":"J1365","DisplayName":"Park District Risk Management Association (PDRMA)","Names":"","Aliases":"J1365","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TIXVG","PrimaryPayerId":"66917","DisplayName":"Parkland Community Health Plan","Names":"PCHP","Aliases":"00272|10643|1763|66917|8967|PRCHP|PRKLND","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TX","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://parklandhealthplan.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UJMEF","PrimaryPayerId":"13141","DisplayName":"Partners Health Management (Behavioral Health)","Names":"Partners Behavioral Health Management","Aliases":"13141|5682|6701","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"ONE_CLICK","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"NC","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.partnersbhm.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YEWIE","PrimaryPayerId":"14966","DisplayName":"Partners Health Plan","Names":"","Aliases":"1111|14966|9521","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NY","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://phpcares.org","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BPJAN","PrimaryPayerId":"PARTH","DisplayName":"Partners in Health","Names":"Partners In Health","Aliases":"3006|8254|PARTH","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FVRLZ","PrimaryPayerId":"NJ099","DisplayName":"Partners Insurance of New Jersey","Names":"","Aliases":"3483|9013|NJ099","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"WXVXJ","ParentPayerGroupName":"TJ University Group","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FNDWK","PrimaryPayerId":"10369","DisplayName":"Partners National Health Plans North Carolina","Names":"","Aliases":"10369","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NC","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YKJYW","PrimaryPayerId":"10164","DisplayName":"Partnership HealthPlan of California","Names":"Partnership Health Plan California|Partnership Health Plan of CA|Partnership Health Plan of California","Aliases":"10164|12M81|3902|5698|7497|PHC100680301406|PHP02|PHPOC|SX140","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"ONE_CLICK","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"ONE_CLICK","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.partnershiphp.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PFVXC","PrimaryPayerId":"66008","DisplayName":"Passport by Molina Healthcare","Names":"Passport Advantage","Aliases":"1004|10367|66008|7829|PSPRT","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"KY","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"WLBLT","ParentPayerGroupName":"Molina Healthcare Inc Group","WebsiteUrl":"https://www.molinahealthcare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DVYTB","PrimaryPayerId":"61325","DisplayName":"Passport Health Plan by Molina Healthcare","Names":"Passport Health Plan by Molina Healthcare (Medicaid)","Aliases":"10368|1281|5015|61129|61325|61325MA|6528|8863|A6863|MLNKY|PPHPC|UHPJC","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"KY","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"WLBLT","ParentPayerGroupName":"Molina Healthcare Inc Group","WebsiteUrl":"https://www.molinamarketplace.com/providers/ky/medicaid/home.aspx","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DZENC","PrimaryPayerId":"25172","DisplayName":"Path Administrators (David H. Evans)","Names":"Path Administrators (DH Evans)","Aliases":"25172|6143","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HFIWN","PrimaryPayerId":"55489","DisplayName":"Patient Advocates","Names":"","Aliases":"10525|2963|3247|55489","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://mypatientadvocate.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JDKEU","PrimaryPayerId":"20510","DisplayName":"Patient Physician Cooperatives","Names":"","Aliases":"20510|5020|8868","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GVPLJ","PrimaryPayerId":"10782","DisplayName":"Patriot Dental","Names":"Securian","Aliases":"10782|10793|46479","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"TX","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NJKFC","PrimaryPayerId":"20907","DisplayName":"Paul Mueller","Names":"","Aliases":"20907","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://paulmueller-benefits.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YNQRX","PrimaryPayerId":"27048","DisplayName":"PayerFusion","Names":"Payer Fusion|PayerFusion Holdings, LLC","Aliases":"27048|6853|7636|FUSION","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://payerfusion.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MZTBC","PrimaryPayerId":"PSN22","DisplayName":"PaySign","Names":"","Aliases":"2738|7922|PSN22","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://paysign.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VNDFG","PrimaryPayerId":"56724","DisplayName":"PBS","Names":"Professional Benefit Services, Inc.","Aliases":"4034|56724|8762","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"OR","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.profben.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DBHFR","PrimaryPayerId":"25449","DisplayName":"PBS Oregon Alaska Industrial Hardware","Names":"Professional Benefit Services Oregon Alaska Industrial Hardware","Aliases":"25449","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"AK","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.profben.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZBXQI","PrimaryPayerId":"27267","DisplayName":"PBS Oregon Alaska Rubber and Supply","Names":"Professional Benefit Services","Aliases":"27267","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.profben.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RWZJI","PrimaryPayerId":"27277","DisplayName":"PBS Oregon Cascade Rubber Products","Names":"Professional Benefit Services","Aliases":"27277","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"OR","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.profben.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BPVFA","PrimaryPayerId":"26224","DisplayName":"PBS Oregon Construction Machinery Industrial","Names":"Professional Benefit Services Oregon Construction Machinery Industrial","Aliases":"26224","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"AK","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.profben.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YHAYS","PrimaryPayerId":"65018","DisplayName":"PCA Health Plan Florida","Names":"Physicians Care Alliance Health Plan Florida","Aliases":"5147|65018","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EZYFP","PrimaryPayerId":"95885","DisplayName":"PCA Health Plans Texas","Names":"PCA HealthPlans of Texas","Aliases":"95885","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QBZJV","PrimaryPayerId":"68049","DisplayName":"Peach State Health Plan","Names":"","Aliases":"68049","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"RZIUK","ParentPayerGroupName":"Centene Corporation Group","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GTCNP","PrimaryPayerId":"IHS41","DisplayName":"Peak Benefit Administrators","Names":"","Aliases":"IHS41","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"FL","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://peakbenefitsadmin.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WKNCM","PrimaryPayerId":"PEAK0","DisplayName":"Peak Health","Names":"Peak Advantage|Peak Health Insurance Corporation|Peak Medicare Advantage","Aliases":"14425|8034|9751|PEAK0","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"KY|PA|WV","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://peakhealth.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WQVBN","PrimaryPayerId":"27034","DisplayName":"Peak PACE Solutions","Names":"Peak Program of All-Inclusive Care for the Elderly Solutions","Aliases":"27034|27034MA|5663|6862","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QWLQD","PrimaryPayerId":"24456","DisplayName":"Pebble Health","Names":"","Aliases":"24456","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BCMSR","PrimaryPayerId":"20472","DisplayName":"Pediatric Associates","Names":"The Pediatric Associates Family of Companies","Aliases":"20472","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"FL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://thepafc.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XBFTN","PrimaryPayerId":"J1423","DisplayName":"Peerless","Names":"","Aliases":"J1423","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RYTDW","PrimaryPayerId":"J1092","DisplayName":"PEG Discover Re","Names":"Peg Discover Re","Aliases":"J1092","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RIXCR","PrimaryPayerId":"J1054","DisplayName":"PEG Discover Re (Food Merchant)","Names":"","Aliases":"J1054","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XESXZ","PrimaryPayerId":"J1924","DisplayName":"Pegasus Risk Management California","Names":"","Aliases":"J1924","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ONZYO","PrimaryPayerId":"J1093","DisplayName":"Pegi Family Dining","Names":"","Aliases":"J1093","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GQZKW","PrimaryPayerId":"10574","DisplayName":"PEHP","Names":"PEHP -CHIP|PEHP Health & Benefits|Public Employees Health Plan","Aliases":"10574|11049|11050|CX080|PEHP|PEHPU|SX106|Z1012","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"ONE_CLICK","ProfessionalClaimEnrollmentTimeframe":"OVER_4_WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"ONE_CLICK","InstitutionalClaimEnrollmentTimeframe":"OVER_4_WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"true","DentalClaimEnrollmentType":"ONE_CLICK","DentalClaimEnrollmentTimeframe":"WEEKS","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"OVER_4_WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"UT","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.pehp.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CESWV","PrimaryPayerId":"37086","DisplayName":"Pekin Insurance","Names":"Group Plan Solutions|Pekin Life Insurance Company","Aliases":"11211|37086|5194|67628|7963|PKNLF","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"AZ|GA|IL|IN|IA|KS|LA|MI|MS|MO|NE|OH|TN|TX|WI","Programs":"COMMERCIAL|MEDICARE","PtanRequired":"false","ParentPayerGroupId":"FAVLZ","ParentPayerGroupName":"Pekin Insurance Group","WebsiteUrl":"https://www.pekininsurance.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"STKEK","PrimaryPayerId":"53226","DisplayName":"Penn Medicine EAP","Names":"Penn Behavioral Health|Penn Behavioral Health Corporate Services|Penn Medicine Princeton EAP","Aliases":"1112|53226","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"PA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.med.upenn.edu","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RZEFY","PrimaryPayerId":"J1573","DisplayName":"Penn Millers Insurance Company","Names":"","Aliases":"J1573","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FJROX","PrimaryPayerId":"10924","DisplayName":"Penn Treaty Network America Insurance Company","Names":"","Aliases":"10924|Z96295","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"AURQR","ParentPayerGroupName":"Penn Treaty American Group","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IUYBM","PrimaryPayerId":"J1439","DisplayName":"Pennsylvania Manufacturing Associates","Names":"Lodestar Claims & Risk Services, Inc.|PMA Management Corp.","Aliases":"J1439","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.lodestar.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KJKZL","PrimaryPayerId":"KJKZL","DisplayName":"Pennsylvania Manufacturing Associates – Workers Compensation","Names":"Pennsylvania Manufacturing Associates (WC)","Aliases":"KJKZL","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AURIM","PrimaryPayerId":"20172","DisplayName":"Pennsylvania Program of All-Inclusive Care for the Elderly","Names":"Pennsylvania PACE","Aliases":"20172|5603|6228","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PZLCS","PrimaryPayerId":"J1466","DisplayName":"People 2.0","Names":"","Aliases":"J1466","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZYOHI","PrimaryPayerId":"IHS01","DisplayName":"People One Health","Names":"PeopleOne Health","Aliases":"44951|5054|8898|IHS01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"FL","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://peopleonehealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WRFVQ","PrimaryPayerId":"PACO1","DisplayName":"Perennial Advantage of Colorado","Names":"","Aliases":"16609|7038|9421|PACO1","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CO","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://perennialadvantage.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PQGTF","PrimaryPayerId":"PAOH1","DisplayName":"Perennial Advantage of Ohio","Names":"","Aliases":"16610|5077|9123|PAOH1","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"OH|PA","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"YLGZY","ParentPayerGroupName":"Perennial Consortium LLC Group","WebsiteUrl":"https://perennialadvantage.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WXEVK","PrimaryPayerId":"J1940","DisplayName":"Performance Contracting Incorporated","Names":"Performance Contracting, Incorporated","Aliases":"J1940","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IJQLB","PrimaryPayerId":"65391","DisplayName":"PerformCare","Names":"AmeriHealth PerformCare|CBHNP HealthChoices|Community Behavioral Health Network of Pennsylvania HealthChoices","Aliases":"4657|6183|65391|PFMCR|PRFCR","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"PA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://pa.performcare.org","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MHUEV","PrimaryPayerId":"25176","DisplayName":"PerformCare Select Health Mental Health Substance Abuse","Names":"","Aliases":"14418|25176","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"NJ","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KTFVN","PrimaryPayerId":"73275","DisplayName":"Perlman Medical Group","Names":"","Aliases":"3458|73275|9004","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YFCAP","PrimaryPayerId":"TLX74","DisplayName":"Personal Choice","Names":"","Aliases":"TLX74","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WQAKS","PrimaryPayerId":"PRNLK","DisplayName":"PersonalLink Martin Luther King","Names":"PrenLink Martin Luther King Jr.","Aliases":"PRNLK","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.prnlink.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VPJLZ","PrimaryPayerId":"36149","DisplayName":"Personify Health","Names":"Benefit Administrative Systems|HealthComp","Aliases":"00458|11020|2984|36149|36149MA|3656|41205|4287|5849|BNADM1|MBOZU","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://personifyhealth.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YBYKA","PrimaryPayerId":"07205","DisplayName":"Personify Health","Names":"Gilsbar Inc|HealthComp South","Aliases":"07205|10509|16597|2557|2802","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"LA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://healthcomp.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YOWFD","PrimaryPayerId":"85729","DisplayName":"Personify Health","Names":"HealthComp (Community First Star Health Plan)|HealthComp Incorporated (West)|HealthComp, LLC","Aliases":"16599|2934|3206|85729|CCH25|HCA770385729|HCOMP|HLCOMP","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"77-0385729","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://healthcomp.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UWUVK","PrimaryPayerId":"62001","DisplayName":"Personify Health Solutions LLC","Names":"","Aliases":"62001","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://personifyhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KAKYV","PrimaryPayerId":"J1570","DisplayName":"Pharmacist Mutual Insurance Company","Names":"","Aliases":"J1570","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JYKHI","PrimaryPayerId":"95422","DisplayName":"PHC California","Names":"AHF|AIDS Healthcare Foundation|Positive Healthcare","Aliases":"00283|6021|9178|95422","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://positivehealthcare.net","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AOQPG","PrimaryPayerId":"J1094","DisplayName":"PHH Fleet America","Names":"","Aliases":"J1094","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RFTDE","PrimaryPayerId":"95411","DisplayName":"PHP","Names":"AIDS Healthcare Foundation|PHC California|Positive Healthcare","Aliases":"6608|6884|95411|95411MA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"CA","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://positivehealthcare.net","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JNBCV","PrimaryPayerId":"RP097","DisplayName":"PHP Network","Names":"","Aliases":"7508|RP097","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DBDJE","PrimaryPayerId":"PHPMD","DisplayName":"Physician Health Partners","Names":"","Aliases":"PHPMD","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HZSAJ","PrimaryPayerId":"PCN12","DisplayName":"Physicians Care Network (Polyclinic)","Names":"","Aliases":"6224|PCN12","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EAPMY","PrimaryPayerId":"36345","DisplayName":"Physicians Care Network Rockford Illinois","Names":"","Aliases":"2840|36345|6095","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://guidehealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DOGIR","PrimaryPayerId":"MCI01","DisplayName":"Physicians Choice Medical Group of Santa Maria","Names":"","Aliases":"7142|7687|MCI01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.physicianschoicemedicalgroup.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FXWOG","PrimaryPayerId":"SLOS1","DisplayName":"Physicians Choice Medical Group San Luis Obispo","Names":"Physicians Choice Medical Group of San Luis Obispo","Aliases":"33072|7141|7686|SLOS1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.physicianschoicemedicalgroup.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GOXVT","PrimaryPayerId":"PDT01","DisplayName":"Physicians DataTrust","Names":"Citrus Valley Physicians Group|St. Vincent Noble Tri-Cities Independent Practice Association|Ximed Medical Group","Aliases":"4155|6001|8930|IP055|PDT01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL|MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://pdtrust.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MUQLZ","PrimaryPayerId":"37136","DisplayName":"Physicians Health Association Illinois","Names":"","Aliases":"1029|37136|3770","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HOYVS","PrimaryPayerId":"MHCM2","DisplayName":"Physicians Health Network (PHN)","Names":"Physicians Health Network","Aliases":"7123|MHCM2","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JFPXD","PrimaryPayerId":"83276","DisplayName":"Physicians Health Plan (PHP) Michigan Medicare","Names":"","Aliases":"16603|3044|8293|83276|83276MA|PHPMIM","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"MI","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LCUXF","PrimaryPayerId":"12399","DisplayName":"Physicians Health Plan (PHP) of Northern Indiana","Names":"PHPNI|Physicians Health Plan (PHP) Northern Indiana","Aliases":"10658|12399|3596|3815|507|PHPNI","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"IN","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.phpni.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GKXWB","PrimaryPayerId":"PHPMSI","DisplayName":"Physicians Health Plan Management Systems","Names":"","Aliases":"7747|PHPMSI","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PXUJX","PrimaryPayerId":"11015","DisplayName":"Physicians Health Plan Mid Michigan","Names":"","Aliases":"11015","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"MI","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JUPQM","PrimaryPayerId":"30031","DisplayName":"Physicians Health Plan Third Party Administrator Services","Names":"PHP TPA Services|PHP Third Party Administrator Services|PHPNI|Physicians Health Plan of Northern Indiana|Pro-Claim Plus Inc","Aliases":"00022|1193|2569|30031|COR01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IN","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.phpni.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CYXTL","PrimaryPayerId":"PHIPA","DisplayName":"Physicians Healthways IPA","Names":"Physicians HealthWays Independent Practice Association","Aliases":"PHIPA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YMPUM","PrimaryPayerId":"EXC01","DisplayName":"Physicians Medical Group of San Jose","Names":"Optum Care Network","Aliases":"2098|3430|EXC01|PMGSJ","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"FIVMG","ParentPayerGroupName":"UnitedHealth Group","WebsiteUrl":"https://pmgsj.optum.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AYSBF","PrimaryPayerId":"47027","DisplayName":"Physicians Mutual Insurance Company","Names":"","Aliases":"00145|10167|3889|4508|47027|9727|CX068|PHYMU|PHYSMT|PMICO|PSHGD","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"IN","Programs":"COMMERCIAL|MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.physiciansmutual.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WYVTZ","PrimaryPayerId":"91171","DisplayName":"Physicians of Southwest Washington","Names":"","Aliases":"1136|8623|91171","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OVZPL","PrimaryPayerId":"PM001","DisplayName":"Physmetrics","Names":"PhysMetrics","Aliases":"48008|7037|8857|PM001","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.simpletherapy.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YJVPN","PrimaryPayerId":"55768","DisplayName":"Piedmont Community Health Plan","Names":"","Aliases":"00288|10882|14461|55768|55768MA|6045|9199|PDMTHP","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"54-1755768","CoverageTypes":"medical","OperatingStates":"VA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"AEKXG","ParentPayerGroupName":"Piedmont Community Health Group","WebsiteUrl":"https://pchp.net","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VQAUE","PrimaryPayerId":"J1369","DisplayName":"Pier 1 Incorporated USA","Names":"","Aliases":"J1369","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JQGLA","PrimaryPayerId":"24735","DisplayName":"Pinnacle Claims Management Inc.","Names":"Pinnacle Claims Management Inc|Western Growers Assurance Trust|Western Growers Insurance Company","Aliases":"11237|1735|24735|6587|CCIA1","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.pinnacletpa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WSKBU","PrimaryPayerId":"PPNZZ","DisplayName":"Pioneer Provider Network","Names":"","Aliases":"6719|9518|PPNZZ","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VLPZH","PrimaryPayerId":"PIP01","DisplayName":"Pipe Fitters' Local 597 Welfare Fund","Names":"Pipefitters Local 597 Welfare Fund|Pipefitters Local Union 597","Aliases":"PIP01","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"IL","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.pf597.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YBIVD","PrimaryPayerId":"PIBF","DisplayName":"Pipeline Industry Benefit Fund","Names":"","Aliases":"PIBF","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://pibf.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PJBXD","PrimaryPayerId":"660202379","DisplayName":"Plan de Bienestar UTM-PRSSA","Names":"","Aliases":"66020|660202379|8736","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"PR","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.planbienestarutm.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RTELB","PrimaryPayerId":"PDSHM","DisplayName":"Plan de Salud Hospital Menonita","Names":"","Aliases":"L0190|PDSHM","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"PR","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://planmenonita.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NLJBJ","PrimaryPayerId":"660636242PSG","DisplayName":"Plan de Salud Menonita GHP (Vital)","Names":"Plan De Salud Menonita|Plan de Salud Menonita Government Health Plan (Vital)","Aliases":"10958|3058|66063|660636242PSG|8448","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"PR","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZEAKX","PrimaryPayerId":"660524575","DisplayName":"Plan Medico Bella Vista","Names":"Plan Médico SSBV|Plan Médico Servicios de Salud Bella Vista, Inc.|Plan de Salud Bella Vista","Aliases":"66052|660524575|7077|9478|RP076","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"66-0524575","CoverageTypes":"dental|medical","OperatingStates":"PR","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.planmedicobellavista.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ESYHE","PrimaryPayerId":"37287","DisplayName":"Planned Administrators Incorporated","Names":"Essential Staff Care|Essential StaffCARE|PAI","Aliases":"101188|10886|37287|3883|3927","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"NATIONAL","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.paisc.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BGSRN","PrimaryPayerId":"65241","DisplayName":"Planstin","Names":"Planstin Administration","Aliases":"6006|65241|9155","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.planstin.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RYATX","PrimaryPayerId":"72060","DisplayName":"Plateau Supplemental Medical Expense Policy","Names":"Lumos Insurance","Aliases":"72060","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.lumosinsurance.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LDAQV","PrimaryPayerId":"DX153","DisplayName":"Plumber and Pipefitters Local 562","Names":"","Aliases":"9137|DX153","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"MO","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://local562.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LTQXR","PrimaryPayerId":"A2315","DisplayName":"Plumbers and Pipefitters United Association Local 350","Names":"U.A. Local 350 Plumbers, Pipefitters and Service Technicians","Aliases":"7568465018|A2315","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"NV","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://350plumbers.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SIPBN","PrimaryPayerId":"ZP1362","DisplayName":"Plumbers Local 130","Names":"","Aliases":"ZP1362","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CBRMU","PrimaryPayerId":"45398","DisplayName":"Plumbers Union Local No. 12 Welfare Fund","Names":"","Aliases":"45398","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.plumbersandgasfitterslocal12.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MGHOP","PrimaryPayerId":"660592131GHP","DisplayName":"PMC Government Health Plan GHP (Vital)","Names":"","Aliases":"660592131GHP|7232|PMCHOR","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"66-0592131","CoverageTypes":"dental|medical","OperatingStates":"PR","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.mmm-pr.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TCECN","PrimaryPayerId":"RP106","DisplayName":"PodAmerica","Names":"","Aliases":"1737|1901|RP106","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KLPDO","PrimaryPayerId":"POD1S","DisplayName":"Podiatry First Incorporated","Names":"","Aliases":"POD1S","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XREQI","PrimaryPayerId":"POD1ST","DisplayName":"Podiatry First Incorporated","Names":"","Aliases":"4251|POD1ST","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QMQSQ","PrimaryPayerId":"PODIA","DisplayName":"Podiatry Plan Incorporated","Names":"","Aliases":"8838|PODIA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JCMYX","PrimaryPayerId":"22823","DisplayName":"Point C","Names":"Mid American Benefits|Mid-American Benefits","Aliases":"22823|5668|6424","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.pointchealth.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KRUPA","PrimaryPayerId":"CXARC","DisplayName":"Point C","Names":"ARC Administrators","Aliases":"4030|8758|CXARC","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.pointchealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OCYPM","PrimaryPayerId":"88058","DisplayName":"Point C","Names":"Med Pay|Med-Pay","Aliases":"00431|10682|7075|7107|7480|88058","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"MO","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.pointchealth.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PBSDB","PrimaryPayerId":"IHS29","DisplayName":"Point C","Names":"Point C Health","Aliases":"3746|9040|IHS29|MEDPY|TYQMG","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.pointchealth.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ROIOA","PrimaryPayerId":"41206","DisplayName":"Point C","Names":"Ultra Benefits|UltraBenefits","Aliases":"00407|41206|5632|6266","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.pointchealth.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XPDSD","PrimaryPayerId":"37279","DisplayName":"Point C","Names":"Insurance Administrator of America Incorporated","Aliases":"00338|1595|3237|37279","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NATIONAL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.pointchealth.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KMEPJ","PrimaryPayerId":"PCG05","DisplayName":"Point Comfort Correctional CARE","Names":"Point Comfort Correctional CARE","Aliases":"PCG05","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://pointcomfort.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PAVWK","PrimaryPayerId":"PCU01","DisplayName":"Point Comfort Underwriters - ORR Unaccompanied Childrens Programs","Names":"","Aliases":"1129|3592|PCU01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://pointcomfort.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TCVUO","PrimaryPayerId":"PCU02","DisplayName":"Point Comfort Underwriters - Refugee Medical Assistance Program (RMA)","Names":"","Aliases":"7793|8547|PCU02","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://pointcomfort.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VWYXQ","PrimaryPayerId":"PCU04","DisplayName":"Point Comfort Underwriters Travel - PCG Travel Programs","Names":"","Aliases":"4049|8786|PCU04","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://pointcomfort.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WGFXT","PrimaryPayerId":"78535","DisplayName":"Pokagon Health Services","Names":"","Aliases":"4007|78535|8732","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"MI","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.pokagonband-nsn.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SBKET","PrimaryPayerId":"32680","DisplayName":"Poly-America","Names":"Poly America|Poly-America Medical and Dental Benefits Plan","Aliases":"32680","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.poly-america.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DEAVA","PrimaryPayerId":"PVHMC","DisplayName":"Pomona Valley Hospital Medical Centre","Names":"","Aliases":"3866|9081|PVHMC","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.pvhmc.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DMHKU","PrimaryPayerId":"PAIOR02","DisplayName":"Pool Administrators (Oregon Secondary Claims)","Names":"PAI|Pool Oregon  - Secondary","Aliases":"3280|PAIOR02|POR02","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"OR","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.pooladmin.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SXUQG","PrimaryPayerId":"PAIOR01","DisplayName":"Pool Administrators Oregon Professional Primary","Names":"Pool Administrators Oregon Primary|Pool Oregon - Primary","Aliases":"3264|PAIOR01|POR01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.pooladmin.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LNXNQ","PrimaryPayerId":"PAI01","DisplayName":"Pool Administrators Primary","Names":"","Aliases":"8128|PAI01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.pooladmin.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ICGFE","PrimaryPayerId":"PAI02","DisplayName":"Pool Administrators Secondary","Names":"","Aliases":"8131|PAI02","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.pooladmin.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UTDEQ","PrimaryPayerId":"23253","DisplayName":"Populytics","Names":"Spectrum Administrators Incorporated TPA (Allenton, Pennsylvania)|Spectrum Administrators Incorporated Third Party Administrator (Allenton, Pennsylvania)","Aliases":"23253|3436|3904","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.populytics.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MGNMU","PrimaryPayerId":"J1627","DisplayName":"Port of Oakland California","Names":"Port of Oakland, California","Aliases":"J1627","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.portofoakland.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JWMCP","PrimaryPayerId":"15991","DisplayName":"Porter Scott","Names":"","Aliases":"15991","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.porterscott.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AYIUS","PrimaryPayerId":"36373","DisplayName":"Prairie States","Names":"Prairie States Enterprises Incorporated","Aliases":"00148|11071|36373|3891|3984","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.prairieontheweb.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LKGER","PrimaryPayerId":"EPF10","DisplayName":"Preferred Administrators","Names":"","Aliases":"5838|8909|EPF10","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"ONE_CLICK","ProfessionalClaimEnrollmentTimeframe":"DAYS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"ONE_CLICK","InstitutionalClaimEnrollmentTimeframe":"DAYS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TX","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.preferredadmin.net","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VZKGU","PrimaryPayerId":"60338","DisplayName":"Preferred Administrators","Names":"Benefit Solutions Inc.","Aliases":"1766|1979|60338","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"TX","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.preferredadmin.net","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FAGAU","PrimaryPayerId":"EPF11","DisplayName":"Preferred Administrators Children's Hospital","Names":"","Aliases":"1607|1717|EPF11","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TX","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.elpasohealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GEXOJ","PrimaryPayerId":"53476","DisplayName":"Preferred Benefit Administrators","Names":"Preferred Benefit Administrators Longwood Florida|Preferred TPA","Aliases":"1652|3198|53476","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.preferredtpa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NSJHP","PrimaryPayerId":"78857","DisplayName":"Preferred Care Network","Names":"Medica Health Care Plan|Medica Healthcare Plan Florida|Preferred Care Network Health|UnitedHealthcare Insurance Company|UnitedHealthcare Services, Inc.","Aliases":"4243|7641|78857","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"FL","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"FIVMG","ParentPayerGroupName":"UnitedHealth Group","WebsiteUrl":"https://www.pcnhealth.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PDERF","PrimaryPayerId":"65088","DisplayName":"Preferred Care Partners","Names":"Preferred Care Partners Florida|UnitedHealthcare","Aliases":"10691|2240|3929|65088|65088MA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"FL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"FIVMG","ParentPayerGroupName":"UnitedHealth Group","WebsiteUrl":"https://www.mypreferredprovider.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JIRYJ","PrimaryPayerId":"73145","DisplayName":"Preferred Community Choice","Names":"CommunityCare|CommunityCare HMO, Inc.","Aliases":"1791|73145|8515","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"OK","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ccok.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RMHIT","PrimaryPayerId":"J1095","DisplayName":"Preferred Employers","Names":"","Aliases":"J1095","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OTOAW","PrimaryPayerId":"J1096","DisplayName":"Preferred Employers Group","Names":"","Aliases":"J1096","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WHFTV","PrimaryPayerId":"J1496","DisplayName":"Preferred Employers Insurance Company (PEI)","Names":"","Aliases":"J1496","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TDZQP","PrimaryPayerId":"CB404","DisplayName":"Preferred Health Plan of Carolinas (PHPC)","Names":"","Aliases":"5018|8866|CB404","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NPNWY","PrimaryPayerId":"33898","DisplayName":"Preferred HealthCare (PHC)","Names":"Preferred Health Care (PHC)","Aliases":"2674|33898|5253","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TWNUT","PrimaryPayerId":"PFIPA","DisplayName":"Preferred Independent Physician Association","Names":"Preferred Independent Practice Association","Aliases":"3225|6623|PFIPA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.preferredipa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GTPMB","PrimaryPayerId":"UHNDC","DisplayName":"Preferred Provider Organization One","Names":"NDC/ppoONE|UnitedHealthcare - National Drug Code Home Infusion Specialty Pharmacy Claims - Claims Only","Aliases":"7764|UHNDC|UHNDCMA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"FIVMG","ParentPayerGroupName":"UnitedHealth Group","WebsiteUrl":"https://www.uhcprovider.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IVJLF","PrimaryPayerId":"72148","DisplayName":"Preferred Provider Organization Plus LLC","Names":"PPO Plus LLC|PPOplus","Aliases":"72148","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.zelis.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KBQNH","PrimaryPayerId":"41147","DisplayName":"PreferredOne (Aspirus Health Plan)","Names":"Aspirus Arise|PreferredOne Minnesota","Aliases":"100694|10169|3410|41147|510|8578|PRFONE|SKLXO","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"CT|WI","Programs":"COMMERCIAL|MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.aspirushealthplan.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FKAUR","PrimaryPayerId":"00934","DisplayName":"Premera Blue Cross Alaska","Names":"Premera Blue Cross Blue Shield Washington State|Premera Blue Cross Blue Shield of Alaska","Aliases":"00934|AKBLS|DX102|PMAK1","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"AK","Programs":"COMMERCIAL|MEDICARE","PtanRequired":"false","ParentPayerGroupId":"AJLGK","ParentPayerGroupName":"Premera Blue Cross","WebsiteUrl":"https://www.premera.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BSNZF","PrimaryPayerId":"00430","DisplayName":"Premera Blue Cross of Washington","Names":"LifeWise Health Plan of Washington|North Star Administrators|Other Blue Plans Premera BlueExchange (Shared Administration)|Premera Blue Cross (Washington)|Premera Blue Cross Blue Shield Alaska and Washington|Premera Blue Cross Blue Shield of Alaska|Premera Blue Cross HMO|Premera Dental|Premera Federal Employee Program (FEP)","Aliases":"00430|00430D|00430H|100062|10326|10650|10651|12B27|2581|2854|3572|430|47570|5522|7445|93093|BCWAC|FMDJA|HTUZG|LMRYC|PMWA1|PREMA|SB930|SB930MA|TLY47|WABLC|WAPBCS","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"SUPPORTED","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"91-0499247","CoverageTypes":"dental|medical|vision","OperatingStates":"WA","Programs":"COMMERCIAL|MEDICARE","PtanRequired":"false","ParentPayerGroupId":"AJLGK","ParentPayerGroupName":"Premera Blue Cross","WebsiteUrl":"https://www.premera.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DAOHD","PrimaryPayerId":"34158","DisplayName":"Premier","Names":"Contigo Health|Health Design Plus (Hudson, Ohio)","Aliases":"16569|2898|34158|7552|HLTDS1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://premierinc.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RSMBF","PrimaryPayerId":"CX078","DisplayName":"Premier Access Insurance (CA)","Names":"","Aliases":"CX078","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.premierlife.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GCQDE","PrimaryPayerId":"65415","DisplayName":"Premier Administrative Solutions","Names":"PAS","Aliases":"65415|7008|9290|ZP1381","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://premieradministrativesolutions.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BKRVE","PrimaryPayerId":"PCMSO","DisplayName":"Premier Care Independent Practice Association (ProCare Management Services Organization)","Names":"ProCareMSO","Aliases":"1142|1953|PCMSO","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://procaremso.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HEDBA","PrimaryPayerId":"65054","DisplayName":"Premier Eye Care","Names":"Health Network One","Aliases":"6130|65054|8996","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.premiereyecare.net","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YETED","PrimaryPayerId":"10848","DisplayName":"Premier Health","Names":"","Aliases":"10848","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MGWSR","PrimaryPayerId":"88056","DisplayName":"Premier Healthcare Exchange (Lucent Health)","Names":"Cypress Benefit Administrators|PHX|Premier Healthcare Exchange","Aliases":"6693|88056|CYPRSS","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://lucenthealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TGSRD","PrimaryPayerId":"88057","DisplayName":"Premier Healthcare Exchange (PHX) - Preferred Admin","Names":"National Health Benefit|PHX|Preferred Administrators|Premier Healthcare Exchange","Aliases":"6630|6731|88057","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.zelis.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EKGDO","PrimaryPayerId":"88051","DisplayName":"Premier Healthcare Exchange Incorporated (PHX)","Names":"PHX|Premier Healthcare Exchange Incorporated","Aliases":"7168|8609|88051","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.zelis.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JKJZK","PrimaryPayerId":"PPCIP","DisplayName":"Premier Patient Care IPA","Names":"ProCare MSO|ProCareMSO","Aliases":"PPCIP","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://ppcipa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MHGHL","PrimaryPayerId":"65482","DisplayName":"Premier Physicians Alliance","Names":"","Aliases":"65482|8842","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZILOY","PrimaryPayerId":"MPM22","DisplayName":"Premier Physicians Network","Names":"MedPOINT Management","Aliases":"6855|8695|MPM22","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medpointmanagement.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RMOUC","PrimaryPayerId":"PREHP","DisplayName":"Presbyterian Health Plan (Commercial)","Names":"Presbyterian (New Mexico)|Presbyterian Health Plan|Presbyterian Healthcare Services","Aliases":"05003|10646|5242|8908|PREHP|PRESB|QYCAP|TH061|Z0003|Z0003MA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NM","Programs":"","PtanRequired":"false","ParentPayerGroupId":"RQRXJ","ParentPayerGroupName":"Presbyterian Healthcare Services Group","WebsiteUrl":"https://www.phs.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PQFVT","PrimaryPayerId":"NMPHP","DisplayName":"Presbyterian Health Plan Medicaid","Names":"Presbyterian Health Plan MCO|Turquoise Claims","Aliases":"1883|4900|NMPHP","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.phs.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EWRPW","PrimaryPayerId":"PRESA","DisplayName":"Presbyterian Medicare","Names":"","Aliases":"1691|4252|PRESA|Z0077","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.phs.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QHLUX","PrimaryPayerId":"98426","DisplayName":"Presidential Life Insurance Company","Names":"","Aliases":"98426","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JSYLZ","PrimaryPayerId":"A2314","DisplayName":"Prezzo","Names":"","Aliases":"A2314","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JICMP","PrimaryPayerId":"PCACZ","DisplayName":"Primary Care Associates of California","Names":"","Aliases":"7135|8687|PCACZ","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.pcacipa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NMRXI","PrimaryPayerId":"PCCMC","DisplayName":"Primary Care Coalition","Names":"","Aliases":"6044|9198|PCCMC","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"ONE_CLICK","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"ONE_CLICK","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"MD","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.pccmd.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MULGD","PrimaryPayerId":"82048","DisplayName":"Primary Health Network","Names":"","Aliases":"2729|82048","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YJGTO","PrimaryPayerId":"MVCV1","DisplayName":"Prime Community Care Central Valley","Names":"Prime Community Care of Central Valley","Aliases":"6705|9679|MVCV0|MVCV1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AXHCO","PrimaryPayerId":"23287","DisplayName":"Prime Health Services","Names":"InterGroup Services Corporation","Aliases":"23287|2961|5485|LV122","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.primehealthservices.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NPGVT","PrimaryPayerId":"J1673","DisplayName":"Prime Healthcare","Names":"","Aliases":"J1673","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TNJNQ","PrimaryPayerId":"13813","DisplayName":"PrimeCare Administrators","Names":"Primecare Administrators Inc","Aliases":"13813|PCA01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"NV","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://primecareadministrators.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XNKDQ","PrimaryPayerId":"23266","DisplayName":"PrimeSource Health Networks","Names":"South Central Preferred|WellSpan Health|York Health Plan","Aliases":"23266|3888","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"true","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.wellspan.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CUZYP","PrimaryPayerId":"10858","DisplayName":"Primewell Health Services","Names":"","Aliases":"10858|VHPLA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.primewellhealth.com/home","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GIOJF","PrimaryPayerId":"61604","DisplayName":"PrimeWest Health","Names":"PrimeWest Health Plan","Aliases":"10494|1565|2786|61604|LX049|PRMWST","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"MN","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.primewest.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HOYDA","PrimaryPayerId":"J1891","DisplayName":"Prince George's County Government Maryland","Names":"","Aliases":"J1891","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SAWPA","PrimaryPayerId":"PRI01","DisplayName":"Princeton Premier Independent Practice Association","Names":"","Aliases":"4131|PRI01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VPACJ","PrimaryPayerId":"00143MC","DisplayName":"Principal Financial Group","Names":"Principal Financial Services|Principal Life Insurance (Dental)|Principal Life Insurance Co|Principal National Life Insurance Company","Aliases":"00143MC|00256|10170|10171|61271|61271MA|PFINL|PRFG|PRFGRP","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"MOWAV","ParentPayerGroupName":"Principal Financial Group","WebsiteUrl":"","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BPUMR","PrimaryPayerId":"PAPER","DisplayName":"Print and Mail – All Payers","Names":"","Aliases":"PAPER|PRINT","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CLOAF","PrimaryPayerId":"38217","DisplayName":"Priority Health","Names":"","Aliases":"00493|10490|38217|38217MA|7459|DX021|PRHTH|PRIORITY|PRIRTY","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"MI","Programs":"","PtanRequired":"false","ParentPayerGroupId":"AXVMF","ParentPayerGroupName":"Corewell Health Group","WebsiteUrl":"https://www.priorityhealth.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"USINF","PrimaryPayerId":"37268","DisplayName":"Prism Network Incorporated","Names":"Palladian Health","Aliases":"37268|4877","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"BDKOJ","ParentPayerGroupName":"Cigna","WebsiteUrl":"https://www.evicore.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XTZFK","PrimaryPayerId":"37315","DisplayName":"Prism Univera","Names":"Univera Healthcare","Aliases":"37315|5159|9073","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://provider.univerahealthcare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PGKHC","PrimaryPayerId":"PTX01","DisplayName":"ProCare Advantage","Names":"Cantex Continuing Care Network|ProCare Texas","Aliases":"15536|3066|8468|PTX01","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TX","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://procareadvantageplan.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PRSBM","PrimaryPayerId":"87065","DisplayName":"Prodegi Corporate Benefit Service ","Names":"MBA Wyoming|Prodegi Benefits","Aliases":"00240|1923|2267|87065","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"AK|ID|MT|ND|OR|SD|WA|WY","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://prodegibenefits.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GOUPQ","PrimaryPayerId":"13396","DisplayName":"Productive Programming Incorporated (PPI)","Names":"Productive Programming Incorporated","Aliases":"13396","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VXKHT","PrimaryPayerId":"36331","DisplayName":"Professional Benefit Administrators","Names":"Professional Benefit Administrators Incorporated (Oak Brook)|Professional Benefit Administrators Incorporated (Oak Brook, Illinois)","Aliases":"10242|2807|2950|36331|ILPBA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.pbaclaims.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CBKSB","PrimaryPayerId":"J1821","DisplayName":"Professional Claims Management","Names":"","Aliases":"J1821","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CHPDH","PrimaryPayerId":"PRC01","DisplayName":"Professional Review Committee - Utah Navajo Health System","Names":"UNHS|Utah Navajo Health System","Aliases":"2843|7972|PRC01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"UT","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://unhsinc.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WPESY","PrimaryPayerId":"1171","DisplayName":"Program of All-Inclusive Care for the Elderly Central Iowa","Names":"","Aliases":"1171|2527|72436","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GPUIY","PrimaryPayerId":"J1748","DisplayName":"Progressive","Names":"Progressive Commercial","Aliases":"J1748","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.progressive.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ROQBE","PrimaryPayerId":"J1788","DisplayName":"Progressive Classic Insurance Company","Names":"","Aliases":"J1788","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XNAYO","PrimaryPayerId":"J1779","DisplayName":"Progressive Commercial Casualty Company","Names":"","Aliases":"J1779","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.progressivecommercial.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EGCTD","PrimaryPayerId":"J1780","DisplayName":"Progressive Direct Insurance Company","Names":"","Aliases":"J1780","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UPFPL","PrimaryPayerId":"J1783","DisplayName":"Progressive Max Insurance Company","Names":"","Aliases":"J1783","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZLAWC","PrimaryPayerId":"J1786","DisplayName":"Progressive Northern Insurance Company","Names":"","Aliases":"J1786","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VJBWF","PrimaryPayerId":"J1787","DisplayName":"Progressive Northwestern Insurance Company","Names":"","Aliases":"J1787","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KIUAG","PrimaryPayerId":"J1785","DisplayName":"Progressive Preferred Insurance Company","Names":"","Aliases":"J1785","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZBXAG","PrimaryPayerId":"J1781","DisplayName":"Progressive Premier Insurance Company","Names":"","Aliases":"J1781","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DBTDN","PrimaryPayerId":"J1784","DisplayName":"Progressive Specialty Insurance Company","Names":"","Aliases":"J1784","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JMRIN","PrimaryPayerId":"PROGY","DisplayName":"Progyny","Names":"","Aliases":"1089|8117|PROGY","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RTOYP","PrimaryPayerId":"88022","DisplayName":"Prominence Administrative Services","Names":"CDS Group Health|Prominence Health|Prominence Health Plan (Self-funded)","Aliases":"10667|2979|4253|88022|CDSGH","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NV","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://phproviders.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AOGXN","PrimaryPayerId":"88082","DisplayName":"Prominence Health Plan","Names":"","Aliases":"2700|7568|88082","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"FL|NV|TX","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UHXHC","PrimaryPayerId":"88029","DisplayName":"Prominence Health Plan (Commercial)","Names":"Prominence Health Plan|Saint Mary's Health Plan","Aliases":"11215|2956|4256|88029|STMRH","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NV","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"MXSKF","ParentPayerGroupName":"Providence Health Group","WebsiteUrl":"https://phproviders.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MSNPK","PrimaryPayerId":"83352","DisplayName":"Prominence Medicare Advantage (Florida)","Names":"Prominence Health|Prominence HealthFirst of Florida","Aliases":"14366|5030|83352|8878|PRHFFL","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"FL","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://phproviders.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BKYXM","PrimaryPayerId":"93082","DisplayName":"Prominence Medicare Advantage (Nevada)","Names":"Prominence Health|Prominence Health Plan Nevada","Aliases":"7218|8635|93082|PHPNV","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NV","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://phproviders.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XYTHJ","PrimaryPayerId":"80095","DisplayName":"Prominence Medicare Advantage (Texas)","Names":"Prominence Health","Aliases":"11199|7219|80095|8636|STMRHT","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"TX","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://phproviders.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JIMRG","PrimaryPayerId":"PROSP","DisplayName":"Prospect Health","Names":"AMVI Medical Group|APAC (Pinnacle Health Resources)|Cal Care Independent Practice Association|Clinica Medica San Miguel|Gateway Independent Practice Association (Pinnacle Health Resources)|Health Excel Independent Practice Association|Los Angeles Medical Center (LAMC)|Maverick Medical Group|North West Orange County Medical Group|Nuestra Family Medical Group|Pacific Healthcare Independent Practice Association|Pinnacle Health Resources|Pomona Valley Medical Group|ProCare (Prospect)|Prospect Health Network|Prospect Health Services Texas|Prospect Medical Group|Prospect Provider Group Rhode Island|Prospect Sherman Oaks Medical Group|United Care Medical Group (UCMG) (Regal)|Upland Medical Group|Vantage Medical Group|Vantage Medical Group Encounters","Aliases":"3287|8684|PROSP|PROSPMA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.prospectmedical.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PUXFC","PrimaryPayerId":"89486","DisplayName":"Prosperity Life Group","Names":"Limited Benefit Group Supplemental|S USA Life Insurance Company|S.USA Life Insurance Company|SBLI USA Life Insurance Company","Aliases":"11162|11163|8033|89486|95721|9749|Z96288","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"LZRNA","ParentPayerGroupName":"Prosperity Life Insurance Group","WebsiteUrl":"","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NTLYQ","PrimaryPayerId":"66019","DisplayName":"PROSSAM","Names":"Plan Maestro de Beneficios de Salud de la Asociación de Maestros de Puerto Rico","Aliases":"66019|660194027|6669|6773","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"66-0194027","CoverageTypes":"medical","OperatingStates":"PR","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://tuplanmaestro.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VYAHY","PrimaryPayerId":"J1568","DisplayName":"Protective Insurance Company","Names":"Protective Life Insurance Company","Aliases":"37309|4444|J1568","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IYHKX","PrimaryPayerId":"68756","DisplayName":"Protector 360 (Administered by Bay Bridge)","Names":"","Aliases":"00386|16591|2022|68756|8158","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.bbadmin.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HCFLS","PrimaryPayerId":"PROV1","DisplayName":"Providence Facility Claims","Names":"","Aliases":"1141|1551|PROV1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JNBLK","PrimaryPayerId":"77355","DisplayName":"Providence Health Assurance (Ayin)","Names":"Providence Health Assurance (Oregon Medicaid)","Aliases":"77355","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"OR","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ayin.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DCGFO","PrimaryPayerId":"77350","DisplayName":"Providence Health Assurance Medicaid","Names":"","Aliases":"5006|77350|8849|PHAMCD","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NRHZK","PrimaryPayerId":"77500","DisplayName":"Providence Health Assurance Medicare Supplement","Names":"Providence Health Plan","Aliases":"16744|5029|77500|8877|PHAMCR","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.providencehealthplan.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MVFLP","PrimaryPayerId":"PHP01","DisplayName":"Providence Health Plan","Names":"NP PHP medicare|PeaceHealth Laboratories|Providence Choice Option","Aliases":"101039|10172|1540|4498|4498MA|NFRMJ|PHP01|PHP03|PROVHP|SX133","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"CA|OR|WA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.providencehealthplan.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XJDPW","PrimaryPayerId":"36481","DisplayName":"Providence Health Plan (Collective Health)","Names":"","Aliases":"3489|36481|9015","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IZHJG","PrimaryPayerId":"PAS01","DisplayName":"Providence Insurance and Administrative Services","Names":"Providence Administrative Services|Providence Risk & Insurance Services","Aliases":"1101|9505|PAS01|RP070","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://pristx.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LXSQO","PrimaryPayerId":"77250","DisplayName":"Providence PACE","Names":"Providence PACE CA|Providence Program of All-Inclusive Care for the Elderly California|Providence Program of All-Inclusive Care for the Elderly, California","Aliases":"4088|77240|77250|77265|8830","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"CA|OR|WA","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.providence.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NKQFX","PrimaryPayerId":"PHP00","DisplayName":"Providence Preferred PPO","Names":"","Aliases":"1915|2403|PHP00|SX187","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FWIXW","PrimaryPayerId":"PRVMS","DisplayName":"Provident American Life and Health Insurance Company","Names":"","Aliases":"16581|PRVMS|Z90026","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"BDKOJ","ParentPayerGroupName":"Cigna","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SACUA","PrimaryPayerId":"68195","DisplayName":"Provident Life & Accident Insurance Company of America","Names":"CGLIC|Connecticut General Life Insurance Company","Aliases":"68195","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"06-0303370","CoverageTypes":"dental","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"BDKOJ","ParentPayerGroupName":"Cigna","WebsiteUrl":"https://www.providentins.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DRDTR","PrimaryPayerId":"31401","DisplayName":"Provider Partners Health Plan of Illinois","Names":"PPHP|Provider Partners Health Plans","Aliases":"16555|3053|31401|8412|PPHP_IL","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IL","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"PYZHC","ParentPayerGroupName":"Provider Partners Health Group","WebsiteUrl":"https://www.pphealthplan.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RKMCD","PrimaryPayerId":"31407","DisplayName":"Provider Partners Health Plan of Indiana","Names":"Provider Partners Health Plans","Aliases":"31407|3223|8533","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IN","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.pphealthplan.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SGCPY","PrimaryPayerId":"31118","DisplayName":"Provider Partners Health Plan of Maryland","Names":"Central Benefit National|Provider Partners Health Plans","Aliases":"16556|1845|31118|4505|PPHP_MD","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"MD","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.pphealthplan.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PGKAK","PrimaryPayerId":"31404","DisplayName":"Provider Partners Health Plan of Missouri","Names":"Provider Partners Health Plans","Aliases":"16557|31404|5079|9126|PPHP_MO","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"MO","Programs":"","PtanRequired":"false","ParentPayerGroupId":"PYZHC","ParentPayerGroupName":"Provider Partners Health Group","WebsiteUrl":"https://www.pphealthplan.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZLVFY","PrimaryPayerId":"31406","DisplayName":"Provider Partners Health Plan of North Carolina","Names":"Provider Partners Health Plans","Aliases":"31406|3408|8941","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NC","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"PYZHC","ParentPayerGroupName":"Provider Partners Health Group","WebsiteUrl":"https://www.pphealthplan.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ENYHN","PrimaryPayerId":"31402","DisplayName":"Provider Partners Health Plan of Ohio","Names":"Provider Partners Health Plans","Aliases":"16558|31402|6074|9233|PPHP_OH","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"OH","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.pphealthplan.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WGOEM","PrimaryPayerId":"31400","DisplayName":"Provider Partners Health Plan of Pennsylvania","Names":"Provider Partners Health Plans","Aliases":"15555|2077|31400|8222|PPHP_PA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"PA","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"PYZHC","ParentPayerGroupName":"Provider Partners Health Group","WebsiteUrl":"https://www.pphealthplan.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"REQYV","PrimaryPayerId":"31405","DisplayName":"Provider Partners Health Plan of Texas","Names":"Provider Partners Health Plans","Aliases":"31405|7023|9407","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TX","Programs":"","PtanRequired":"false","ParentPayerGroupId":"PYZHC","ParentPayerGroupName":"Provider Partners Health Group","WebsiteUrl":"https://www.pphealthplan.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YOHGS","PrimaryPayerId":"48100","DisplayName":"ProviDRs Care","Names":"ProviDRs Care Network","Aliases":"4619|48100|6133|WP481","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://providrscare.net","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BWBJP","PrimaryPayerId":"7259","DisplayName":"Prudent Medical Group","Names":"MedPOINT Management","Aliases":"7259|8696|MPM25","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medpointmanagement.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UHNTV","PrimaryPayerId":"PH001","DisplayName":"PruittHealth Premier of Georgia","Names":"PruittHealth Premier (GA)|PruittHealth Premier Georgia","Aliases":"11101|7281|9563|PH001|PH001MA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"GA","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"PHYXI","ParentPayerGroupName":"Unico Premier Group","WebsiteUrl":"https://pruitthealthpremier.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MQUMV","PrimaryPayerId":"PHPC1","DisplayName":"PruittHealth Premier of North Carolina and South Carolina","Names":"PruittHealth Premier North Carolina and South Carolina|PruittHealth Premier of Carolinas (NC and SC)","Aliases":"16593|2044|8182|PHPC1","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NC|SC","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://pruitthealthpremier.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KWIYA","PrimaryPayerId":"PSKW0","DisplayName":"PSKW","Names":"ConnectiveRx|PharmaKinnex","Aliases":"1239|6023|PSKW0","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.connectiverx.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OQZCB","PrimaryPayerId":"A2797","DisplayName":"Psychealth Care Management LLC","Names":"Holistic PsycHealth LLC","Aliases":"A2797","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://holisticpsychealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BMNCJ","PrimaryPayerId":"11043","DisplayName":"Public Employee Benefit Authority","Names":"South Carolina Public Employee Benefit Authority","Aliases":"11043","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"SC","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.peba.sc.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UVMTM","PrimaryPayerId":"J1623","DisplayName":"Public Employer Risk Management Association","Names":"","Aliases":"J1623","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NY","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.perma.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XLGPZ","PrimaryPayerId":"XLGPZ","DisplayName":"Public Employer Risk Management Association – Workers Compensation","Names":"Public Employer Risk Management Association (WC)","Aliases":"XLGPZ","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XSZDP","PrimaryPayerId":"J1897","DisplayName":"Publix Super Markets Incorporated","Names":"","Aliases":"J1897","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DQXUO","PrimaryPayerId":"10743","DisplayName":"Puritan Life Insurance","Names":"","Aliases":"10743|Z95719","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"ELVTE","ParentPayerGroupName":"Calton Holdings Group","WebsiteUrl":"https://puritanlifeinsurance.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IMJRK","PrimaryPayerId":"J1485","DisplayName":"QBE General Casualty Eden Prairie","Names":"","Aliases":"J1485","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZCBVL","PrimaryPayerId":"J1483","DisplayName":"QBE General Casualty Farmers Union","Names":"","Aliases":"J1483","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XRTXI","PrimaryPayerId":"J1486","DisplayName":"QBE General Casualty Freeport","Names":"","Aliases":"J1486","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.qbe.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JGCPT","PrimaryPayerId":"J1487","DisplayName":"QBE General Casualty Indianapolis","Names":"","Aliases":"J1487","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EFHLD","PrimaryPayerId":"J1488","DisplayName":"QBE General Casualty Simsbury","Names":"","Aliases":"J1488","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CBERZ","PrimaryPayerId":"J1489","DisplayName":"QBE General Casualty Sun Prairie","Names":"","Aliases":"J1489","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SCBMH","PrimaryPayerId":"J1490","DisplayName":"QBE General Casualty West Des Moines","Names":"","Aliases":"J1490","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PJYRJ","PrimaryPayerId":"J1609","DisplayName":"QPS Employment Group","Names":"","Aliases":"J1609","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NOCKU","PrimaryPayerId":"40437","DisplayName":"Quad City Community Healthcare (QCCH)","Names":"Quad City Community Healthcare","Aliases":"40437|7158|7961","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.qcchealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZSHOD","PrimaryPayerId":"QCP01","DisplayName":"QualCare Independent Practice Association","Names":"CHS/QualCare IPA","Aliases":"10637|23342|7717|9658|QCP01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.qualcareipa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"URBHF","PrimaryPayerId":"35174","DisplayName":"QualChoice Health Insurance","Names":"QCA Health Plan Inc|QualChoice Arkansas","Aliases":"00137|10553|2593|35174|46122|5428|QUCHO","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"AR","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.qualchoice.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JZAPG","PrimaryPayerId":"86772","DisplayName":"Qualexa Healthcare","Names":"","Aliases":"16614|4086|86772|8828","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://qualexahealthcare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZCWMY","PrimaryPayerId":"89461","DisplayName":"Quality Care Partners","Names":"Antidote Health Plan of Ohio","Aliases":"4641|6160|89461","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"OH","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.qualitycarepartners.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VPWZV","PrimaryPayerId":"A2795","DisplayName":"Quantify Speciality Care (QSC)","Names":"","Aliases":"A2795","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PCRNS","PrimaryPayerId":"39180","DisplayName":"Quartz","Names":"Gundersen Health Plan|Physicians Plus Insurance Corporation|QHPMC|Quartz Benefits|Quartz Health Benefit Plans Corporation|Quartz Health Insurance Corporation|Quartz Health Plan Corporation|Quartz Health Plan MN Corporation|Quartz Health Solutions, Inc.|Unity Health Insurance","Aliases":"10349|13298|39180|39180MA|66705|7264|8677|QUARTZ","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"SUPPORTED","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"46-5710709","CoverageTypes":"dental|medical|vision","OperatingStates":"IL|IA|MN|WI","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"FBEUW","ParentPayerGroupName":"University Health Care and Gundersen Lutheran Group","WebsiteUrl":"https://quartzbenefits.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PJGQV","PrimaryPayerId":"HHQUB","DisplayName":"QUB","Names":"","Aliases":"HHQUB","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.healthhere.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EYEWH","PrimaryPayerId":"44219","DisplayName":"Quest Behavioral Health","Names":"","Aliases":"44219|4681|6207","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://questbh.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZCGYX","PrimaryPayerId":"10956","DisplayName":"Quest Employee Assistance Program","Names":"Quest EAP","Aliases":"10956|3002|8251","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WFIKX","PrimaryPayerId":"84562","DisplayName":"QuestCare Medical Services","Names":"Questcare Medical Services","Aliases":"7174|84562|8615","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DXSMY","PrimaryPayerId":"73067","DisplayName":"QuikTrip","Names":"","Aliases":"00202|6875|73067|8937|QTCORP","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://ar.quiktrip.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PJVJC","PrimaryPayerId":"QKTRP","DisplayName":"QuikTrip Corporation","Names":"","Aliases":"10508|QKTRP","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IL|IN|IA|KS|MI|MN|MO|MT|NE|ND|OH|OK|SD|TX|UT","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://ar.quiktrip.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UCUAY","PrimaryPayerId":"J1522","DisplayName":"Raley's Family of Fine Stores","Names":"","Aliases":"J1522","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BNVMV","PrimaryPayerId":"J1938","DisplayName":"Ralph Lauren","Names":"","Aliases":"J1938","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DUPXU","PrimaryPayerId":"J1894","DisplayName":"Ram Mutual Insurance Company","Names":"RAM Mutual Insurance Company","Aliases":"J1894","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UNMLO","PrimaryPayerId":"38512","DisplayName":"Rampart Insurance Company","Names":"","Aliases":"38512","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NLJSK","PrimaryPayerId":"J1663","DisplayName":"Ramsey County Minnesota","Names":"","Aliases":"J1663","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KVIYH","PrimaryPayerId":"J1635","DisplayName":"Rancho Santiago Community College District California","Names":"","Aliases":"J1635","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RCQSG","PrimaryPayerId":"J1456","DisplayName":"Randstad USA","Names":"Mergis Group|SFN Group Sourceright Solutions|SFN Group Spherion|SFN Group Tatum|SFN Group Technisource|SFN Group Todays Office Professionals","Aliases":"J1456","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.randstadusa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LKXZJ","PrimaryPayerId":"1487832648","DisplayName":"Rapid Response Ems -Brms","Names":"Benefit & Risk Management Services","Aliases":"1487832648","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://brmsonline.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TBOFH","PrimaryPayerId":"RPAWC","DisplayName":"Ravenswood Physician Associates","Names":"","Aliases":"6619|6899|RPAWC","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.rpadoctors.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AGIPK","PrimaryPayerId":"47076","DisplayName":"RCI","Names":"RCI Group II|Regional Care Incorporated","Aliases":"15537|2967|3266|47076","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.regionalcare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UAJQE","PrimaryPayerId":"J1675","DisplayName":"Recology","Names":"","Aliases":"J1675","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ILJXD","PrimaryPayerId":"A0205","DisplayName":"Red Oak Independent School District","Names":"","Aliases":"A0205","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TX","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.redoakisd.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RFSJE","PrimaryPayerId":"86145","DisplayName":"Redirect Health Administration","Names":"","Aliases":"7041|86145|9424","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.redirecthealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XYFBL","PrimaryPayerId":"RCH23","DisplayName":"Redlands Community Hospital","Names":"","Aliases":"3690|RCH23","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.redlandshospital.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JGERJ","PrimaryPayerId":"SYMED","DisplayName":"Redlands IPA (Synermed)","Names":"","Aliases":"SYMED","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BKGLA","PrimaryPayerId":"18247","DisplayName":"Redlands Yucaipa Medical Group","Names":"Redlands-Yucaipa Medical Group","Aliases":"18247|5892|7536","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.rymg.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MNJYW","PrimaryPayerId":"R3483","DisplayName":"Redwood Coast PACE","Names":"HSRC|Humboldt Senior Resource Center","Aliases":"R3483","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"CA","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://humsenior.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XBGUY","PrimaryPayerId":"03293","DisplayName":"Redwood Health Services","Names":"","Aliases":"03293|54249|ZP1314","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://rhs.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DCXFI","PrimaryPayerId":"31441","DisplayName":"Reflect Health","Names":"Angle Health|Coastal Administrative Services (CAS)|Firefly Health|S and S Healthcare Strategies|S&S HealthCare Strategies|S&S Healthcare|SS HEALTH-ICL 1227","Aliases":"10875|2518|31441|3740|CDSGP","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.reflecthealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QUZLS","PrimaryPayerId":"REGAL","DisplayName":"Regal Medical Group","Names":"Caduceus Medical Group|Glendale Physicians Medical Group|Heritage Provider Network","Aliases":"3292|6621|REGAL","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.regalmed.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VSAZE","PrimaryPayerId":"00851","DisplayName":"Regence BlueCross BlueShield of Oregon","Names":"Regence Blue Cross Blue Shield Oregon|Regence Blue Cross Blue Shield of Oregon|Regence BlueCross BlueShield of Oregon - Medicare Advantage","Aliases":"00850|00851|10045|2404|5516|851|CB850|ORBLS|ORRBCS|SB850|SB850MA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"AZ|CA|ID|MT|NV|OR|UT|WA","Programs":"COMMERCIAL|MEDICARE","PtanRequired":"false","ParentPayerGroupId":"ZLVTI","ParentPayerGroupName":"Regence Blue Cross Blue Shield","WebsiteUrl":"https://www.regence.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HNRTE","PrimaryPayerId":"00910","DisplayName":"Regence BlueCross BlueShield of Utah","Names":"Regence BlueCross BlueShield Utah","Aliases":"00910|10618|1529|1530|2412|2788|910|CBUTF|DX088|SB910|TLU43|U1100|UTBLS|UTFEPP|UTREBS","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"UT","Programs":"COMMERCIAL|MEDICARE","PtanRequired":"false","ParentPayerGroupId":"ZLVTI","ParentPayerGroupName":"Regence Blue Cross Blue Shield","WebsiteUrl":"https://www.regence.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"THTLS","PrimaryPayerId":"00611","DisplayName":"Regence BlueShield of Idaho","Names":"Blue Shield of Idaho (Regence)|Regence BlueShield Idaho","Aliases":"00611|10052|12B88|3540|611|7426|CBID2|IDBCS|ZBID1|ZBID1MA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"ID|WA","Programs":"COMMERCIAL|MEDICARE","PtanRequired":"false","ParentPayerGroupId":"ZLVTI","ParentPayerGroupName":"Regence Blue Cross Blue Shield","WebsiteUrl":"https://www.regence.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LSJBA","PrimaryPayerId":"00932","DisplayName":"Regence BlueShield of Washington","Names":"Blue Shield Washington - Regence|Regence Blue Shield Washington|Regence BlueShield of Washington - Medicare Advantage","Aliases":"00932|10054|1997|7451|7451MA|93200|RGBLS|SB931|WABLS|WARBCS","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"WA","Programs":"COMMERCIAL|MEDICARE","PtanRequired":"false","ParentPayerGroupId":"ZLVTI","ParentPayerGroupName":"Regence Blue Cross Blue Shield","WebsiteUrl":"https://www.regence.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZJTZG","PrimaryPayerId":"RGA01","DisplayName":"Regence Group Administrators","Names":"","Aliases":"11056|1209|3577|RGA01|RGADM","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"OR|WA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.regence.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HOHGE","PrimaryPayerId":"38221","DisplayName":"Regency Employee Benefits","Names":"The Robbins Group","Aliases":"00349|38221|4668|6201","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://robbinsgroup.com/regency-employee-benefits","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CAJXQ","PrimaryPayerId":"J1467","DisplayName":"Regis Brands","Names":"","Aliases":"J1467","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JCAJW","PrimaryPayerId":"31127","DisplayName":"Rehab Provider Network","Names":"Integra Group|Select Medical","Aliases":"00366|16573|1864|31127|31128|31129|3955","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.rehabprovidernetwork.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CKEDY","PrimaryPayerId":"REHNA","DisplayName":"Rehn & Associates","Names":"REHN and Associates","Aliases":"1609|5288|REHN|REHNA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.rehnonline.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ODZKU","PrimaryPayerId":"ZP1346","DisplayName":"Reimbursement Specialists Inc","Names":"ebm Insurance Solutions","Aliases":"ZP1346","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://getebm.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IYUYN","PrimaryPayerId":"79846","DisplayName":"Reliance Community Care Partners (RCCP)","Names":"","Aliases":"7032|79846|9416","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"MI","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://relianceccp.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BKDGX","PrimaryPayerId":"86304","DisplayName":"Reliance Global Group","Names":"Insurers Administrative Corporation","Aliases":"11021|86304","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://relianceglobalgroup.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GEKCT","PrimaryPayerId":"71005","DisplayName":"Reliance Matrix","Names":"First Reliance Standard Life - New York|First Reliance Standard Life Insurance Company - New York|Standard Life Insurance Company of New York","Aliases":"00428|13317|68381|71005|STNYC","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"XRVBU","ParentPayerGroupName":"Tokio Marine Holdings Inc. Group","WebsiteUrl":"https://www.reliancematrix.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GJMJF","PrimaryPayerId":"36088","DisplayName":"Reliance Matrix","Names":"First Reliance Standard Life Insurance Company|Reliance Standard Life|Reliance Standard Life Insurance|Reliance Standard Life Insurance Company|Standard Security Life Insurance Company of New York|Tokio Marine Group","Aliases":"00427|36088","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.reliancestandard.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YNGVE","PrimaryPayerId":"AMTAS00427","DisplayName":"Reliance Standard Life Insurance Company","Names":"","Aliases":"AMTAS00427","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZVRPD","PrimaryPayerId":"ROJW1","DisplayName":"Religious Order of Jehovah's Witness","Names":"Religious Order of Jehovah's Witnesses","Aliases":"8197|ROJW1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.jw.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MQCMK","PrimaryPayerId":"RLHA1","DisplayName":"Renaissance Life and Health","Names":"","Aliases":"RLHA|RLHA1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://renaissancebenefits.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MRPAC","PrimaryPayerId":"RENGQ","DisplayName":"Renaissance Physicians","Names":"Gulf Quest","Aliases":"3463|76066|RENGQ","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TX","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://myrpo.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VKJZR","PrimaryPayerId":"12475","DisplayName":"Republic Franklin Insurance","Names":"Utica National Insurance Group","Aliases":"12475","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.uticanational.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KGVBR","PrimaryPayerId":"J1008","DisplayName":"Republic Indemnity Company of America","Names":"","Aliases":"J1008","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HVGMV","PrimaryPayerId":"J1597","DisplayName":"Republic Western Insurance Company","Names":"","Aliases":"J1597","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TLPQC","PrimaryPayerId":"J1376","DisplayName":"ResCare Incorporated","Names":"","Aliases":"J1376","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CYPVH","PrimaryPayerId":"J1097","DisplayName":"Residential Services Group","Names":"","Aliases":"J1097","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UNEMG","PrimaryPayerId":"J1954","DisplayName":"Resolute Forest Products","Names":"","Aliases":"J1954","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CVWJT","PrimaryPayerId":"J1098","DisplayName":"Restaurant Reinsurance Limited","Names":"","Aliases":"J1098","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MRLQO","PrimaryPayerId":"RPPG1","DisplayName":"Resurrection Physician Providers Group","Names":"","Aliases":"4270|8028|RPPG1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://resurrectionphysicians.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ULACW","PrimaryPayerId":"J1202","DisplayName":"Return to Work (RTW)","Names":"","Aliases":"J1202","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BXUYA","PrimaryPayerId":"62177","DisplayName":"Revecore","Names":"Medical Reimbursements of America|Revecore Technologies","Aliases":"3523|5293|62177","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://revecore.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FAWQD","PrimaryPayerId":"J1848","DisplayName":"RevMed","Names":"","Aliases":"J1848","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JWDVK","PrimaryPayerId":"10700","DisplayName":"RFIC","Names":"BusinessFirst Insurance|Integrated Specialty Coverages, LLC (ISC)|RetailFirst Insurance Company","Aliases":"10700","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"FL|GA|IN|KY|NC|SC|TN|VA","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://businessfirstinsurance.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BJCNA","PrimaryPayerId":"12HHA","DisplayName":"RHHI Home Health Medicare NHIC","Names":"","Aliases":"12HHA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"DAYS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"REHWV","PrimaryPayerId":"12M80","DisplayName":"RHHI Home Health Medicare Region IV (Gulf Coast/Midwest)","Names":"","Aliases":"12M80","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GDQKE","PrimaryPayerId":"12M98","DisplayName":"RHHI Home Health Medicare Region V - Service Area 7","Names":"","Aliases":"12M98","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"DAYS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XGDWV","PrimaryPayerId":"LS495","DisplayName":"Rhode Island Inter-Local Risk Management Trust, Inc","Names":"The Trust","Aliases":"LS495","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"RI","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ritrust.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HJCJY","PrimaryPayerId":"J1099","DisplayName":"Rhone Poulenc Incorporated","Names":"","Aliases":"J1099","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TFQNR","PrimaryPayerId":"J1100","DisplayName":"Rieth Riley Construction Company","Names":"","Aliases":"J1100","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZFGXE","PrimaryPayerId":"74205","DisplayName":"RightCare","Names":"Baylor Scott & White Health|Right Care from Scott and White|RightCare from Scott and White Healthplan|Scott and White Health Plan","Aliases":"4678|6182|74205","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://rightcare.swhp.org","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TNAPB","PrimaryPayerId":"37331","DisplayName":"RightChoice Benefits Administrators","Names":"","Aliases":"2677|37331|5807","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HJATV","PrimaryPayerId":"RHN01","DisplayName":"Rincol Health Network","Names":"Choice Physicians Network|Rincon Health Network","Aliases":"3868|9084|RHN01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.rinconhn.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UCWPN","PrimaryPayerId":"RIOS1","DisplayName":"Rios Southwest Medical Group","Names":"","Aliases":"6048|9214|RIOS1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.riosswmg.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NRFBP","PrimaryPayerId":"J1828","DisplayName":"Risk Administration Services","Names":"","Aliases":"CB293|J1828","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YDAEB","PrimaryPayerId":"RISRX","DisplayName":"Risk Reduction Strategies","Names":"","Aliases":"1776|2568|RISRX","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.risrx.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GKCYM","PrimaryPayerId":"J1101","DisplayName":"Risk Transfer Technologies Incorporated","Names":"","Aliases":"J1101","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OMNYD","PrimaryPayerId":"J1546","DisplayName":"Riverport Insurance (Minnesota School Board Association)","Names":"","Aliases":"J1546","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DZKZT","PrimaryPayerId":"RMC01","DisplayName":"Riverside Medical Clinic","Names":"","Aliases":"6246|RMC01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.riversidemedicalclinic.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NCLER","PrimaryPayerId":"44412","DisplayName":"Robert F. Kennedy Medical Plan","Names":"NX Health Network|Nexum Health|Valenz Access|Vālenz Health","Aliases":"2055|44412|8194","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.valenzhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BXLTA","PrimaryPayerId":"41625","DisplayName":"Rochester Public Schools","Names":"HealthEZ","Aliases":"41625","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"MN","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://rochesterschoolsbenefits.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZYJLG","PrimaryPayerId":"27065","DisplayName":"Rockford Mutual Insurance Company","Names":"","Aliases":"27065","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.rockfordmutual.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TGKJE","PrimaryPayerId":"93142","DisplayName":"Rocky Mountain PACE","Names":"Rocky Mountain Program of All-Inclusive Care for the Elderly","Aliases":"7004|9286|93142","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"CO","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://rmpace.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZYJWD","PrimaryPayerId":"10751","DisplayName":"Royal Neighbors of America","Names":"","Aliases":"10751|RYLNB|Z95720","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.royalneighbors.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZWKWQ","PrimaryPayerId":"1376845909","DisplayName":"Rrw, Llc - Brms","Names":"Benefit & Risk Management Services","Aliases":"1376845909","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://brmsonline.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JIXSU","PrimaryPayerId":"J1102","DisplayName":"RSC Insurance Services Ltd.","Names":"","Aliases":"J1102","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HJLOP","PrimaryPayerId":"IHS18","DisplayName":"Rubicon Health Group","Names":"","Aliases":"1400|1593|IHS18","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"SC","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://carewithoutcost.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PSPGX","PrimaryPayerId":"660407821","DisplayName":"Ryder Services Incorporated","Names":"","Aliases":"660407821","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ryder.com/en-us","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GSRUQ","PrimaryPayerId":"J1009","DisplayName":"Ryder Services Incorporated - Worker Compensation","Names":"","Aliases":"J1009","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ryder.com/en-us","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GBTLB","PrimaryPayerId":"J1728","DisplayName":"SA Recycling LLC","Names":"","Aliases":"J1728","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FBQWU","PrimaryPayerId":"24740","DisplayName":"Safeco Insurance","Names":"LMI|Liberty Mutual Insurance","Aliases":"24740","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.libertymutualgroup.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LZWJW","PrimaryPayerId":"LZWJW","DisplayName":"Safeco Insurance – Workers Compensation","Names":"Safeco Insurance (WC)","Aliases":"LZWJW","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BOTUC","PrimaryPayerId":"J1103","DisplayName":"Safety-Kleen Corporation","Names":"Safety Kleen Corporation","Aliases":"J1103","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AFOQD","PrimaryPayerId":"35164","DisplayName":"Sagamore Health Network","Names":"","Aliases":"35164|4543|6464","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"BDKOJ","ParentPayerGroupName":"Cigna","WebsiteUrl":"https://sagamorehn.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KSZYW","PrimaryPayerId":"SJHC1","DisplayName":"Saint Johns Health Clinic","Names":"Providence Health System|Providence Saint John's Health Center|Saint John's Health Clinic","Aliases":"2038|8176|SJHC1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.providence.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QKQYS","PrimaryPayerId":"STJOE","DisplayName":"Saint Joseph Heritage Healthcare","Names":"High Desert Primary Care Premier|Hoag Affiliated Physicians|Inter Valley Health Plan|Mission Heritage Medical Group|Mission Hospital Affiliated Physicians|Providence Health System|St. Joseph Heritage Healthcare|St. Joseph Heritage Medical Group|St. Joseph Hospital Affiliated|St. Jude Affiliated Physicians|St. Jude Heritage Medical Group|St. Mary High Desert","Aliases":"3412|9570|IP106|STJOE","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.sjhhnss.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"STGBW","PrimaryPayerId":"J1658","DisplayName":"Saint Louis County","Names":"Saint Louis County Minnesota","Aliases":"J1658","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PXLQL","PrimaryPayerId":"SA1023","DisplayName":"Salia Healthcare","Names":"","Aliases":"SA1023|SALIA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://saliahealthcare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QUGQW","PrimaryPayerId":"J1730","DisplayName":"Salt Lake City Corporation","Names":"","Aliases":"J1730","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PRYQE","PrimaryPayerId":"CB122","DisplayName":"Salvasen Health","Names":"","Aliases":"CB122","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PZKCI","PrimaryPayerId":"SAMAD","DisplayName":"Samaritan Advantage","Names":"Samaritan Health Plans","Aliases":"SAMAD","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"OR","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://samhealthplans.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CDSUJ","PrimaryPayerId":"SAM00","DisplayName":"Samaritan Employer Group","Names":"Samaritan Commercial Plan|Samaritan Health Plans","Aliases":"SAM00","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"OR","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://samhealthplans.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FYGXY","PrimaryPayerId":"SM325","DisplayName":"Samaritan Given","Names":"","Aliases":"SM325","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QGLOY","PrimaryPayerId":"SAMCP","DisplayName":"Samaritan Health Plans","Names":"Samaritan Choice Plans","Aliases":"SAMCP|SAMCPMA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"OR","Programs":"COMMERCIAL|MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://samhealthplans.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SFIRK","PrimaryPayerId":"CP001","DisplayName":"Samaritan Health Plans","Names":"","Aliases":"14302|14433|2122|5952|CP001","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"OR","Programs":"","PtanRequired":"false","ParentPayerGroupId":"NHVLE","ParentPayerGroupName":"Samaritan Health Services Group","WebsiteUrl":"https://samhealthplans.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VZQZS","PrimaryPayerId":"37259","DisplayName":"SAMBA","Names":"SAMBA Federal Employee Benefit Association|SAMBA Federal Employee Health Benefit (FEHB)|SAMBA Health Benefit Plan|SAMBA TeleHealth|Special Agents Mutual Benefit Association (SAMBA)|Special Agents Mutual Benefit Association Health Benefit Plan","Aliases":"10591|1116|37259|50322|SAMBA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.sambaplans.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VPMLA","PrimaryPayerId":"U8053","DisplayName":"Samera Health ","Names":"Benefit Administrative Solutions|Mint Health Plans","Aliases":"00196|5053|8213|U8053","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.samerahealth.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OYCMQ","PrimaryPayerId":"J1741","DisplayName":"San Bernardino City Unified School District","Names":"","Aliases":"J1741","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IQDQK","PrimaryPayerId":"J1638","DisplayName":"San Diego Community College District California","Names":"","Aliases":"J1638","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZQNRL","PrimaryPayerId":"MSO33","DisplayName":"San Diego County (Ryan White Care Act)","Names":"","Aliases":"4683|6177|MSO33","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.sandiegocounty.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WMWJQ","PrimaryPayerId":"MSO11","DisplayName":"San Diego County Medical Services (County Medical Services)","Names":"Americhoice|San Diego County Medical Services (CMS)|San Diego County Sheriffs Department","Aliases":"4662|6190|7019|9403|MSO11|MSO55","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.sandiegocounty.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QPAIH","PrimaryPayerId":"MSO22","DisplayName":"San Diego County Physician Emergency Services","Names":"","Aliases":"MSO22","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.sandiegocounty.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VMPEC","PrimaryPayerId":"96400","DisplayName":"San Diego PACE","Names":"San Diego Program of All-Inclusive Care for the Elderly|San Ysidro Health","Aliases":"3004|8252|96400|SDPCS","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"CA","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.syhealth.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YJPHI","PrimaryPayerId":"SCP01","DisplayName":"San Diego Physicians Medical Group","Names":"","Aliases":"2978|5828|SCP01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TQPKO","PrimaryPayerId":"SFHP1","DisplayName":"San Francisco Health Plan","Names":"","Aliases":"02735|10849|6633|6736|SFHP1","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"94-3226498","CoverageTypes":"medical|vision","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.sfhp.org","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OATVI","PrimaryPayerId":"J1886","DisplayName":"San Francisco Municipal Transportation Agency","Names":"","Aliases":"J1886","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TQJKQ","PrimaryPayerId":"50114","DisplayName":"Sana Benefits","Names":"Sana Benefits, Inc.","Aliases":"00167|14409|2025|50114|8161|SANA1|SANAB","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"AL|AZ|CO|DE|IL|IN|IA|KS|KY|MD|MA|MI|OH|OK|PA|TX|VA|WI","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.sanabenefits.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GXENP","PrimaryPayerId":"14816","DisplayName":"Sandhills Center","Names":"","Aliases":"14816|5665|6404|SHC30|SHC3U","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"ONE_CLICK","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RWIXI","PrimaryPayerId":"91184","DisplayName":"Sanford Health Plan","Names":"","Aliases":"10533|2116|5961|91184|91184MC|MNSHP","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IA|MN|NE|ND|SD","Programs":"","PtanRequired":"false","ParentPayerGroupId":"QFRZW","ParentPayerGroupName":"Sanford Health Group","WebsiteUrl":"https://www.sanfordhealthplan.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RFUPS","PrimaryPayerId":"RP035","DisplayName":"Sanford Health Plan Medicare Advantage","Names":"Great Plains Medicare Advantage","Aliases":"14373|6572|9277|RP035","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"IA|MN|NE|ND|SD","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.sanfordhealthplan.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XTRNZ","PrimaryPayerId":"SAN01","DisplayName":"Sansum Clinic IPA","Names":"Sutter Health","Aliases":"SAN01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.sutterhealth.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZFZFZ","PrimaryPayerId":"SBIPA","DisplayName":"Santa Barbara Select","Names":"MED3000|Santa Barbara Select IPA","Aliases":"5860|SBIPA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.sbselect.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FMQUV","PrimaryPayerId":"10378","DisplayName":"Santa Clara County Independent Practice Association Health Maintenance Organization","Names":"Santa Clara County IPA HMO","Aliases":"10378|10378MA|5279|7000","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.sccipa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RSWMD","PrimaryPayerId":"SCACO","DisplayName":"Santa Clara County IPA PPO","Names":"SCCIPA","Aliases":"6222|SCACO","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.sccipa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TKDCO","PrimaryPayerId":"10876","DisplayName":"Santa Clara Family Health Plan","Names":"SCFHP","Aliases":"10876|24077|24077MA|3613|5181|SCFHP","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.scfhp.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QVMON","PrimaryPayerId":"J1518","DisplayName":"Santa Clara Valley Transportation Authority","Names":"VTA","Aliases":"J1518","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.vta.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KVGXD","PrimaryPayerId":"DBA02","DisplayName":"Santa Monica Unite Here Health Benefit Plan","Names":"Unite Here Local 11 Health Benefit Fund","Aliases":"6010|9159|DBA02","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.benefits11.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MZCIW","PrimaryPayerId":"SNTCC","DisplayName":"Sante Community Medical Centers","Names":"Santé Community Medical Centers","Aliases":"7025|9410|SNTCC","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.santehealth.net","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XKBDL","PrimaryPayerId":"SNTMC","DisplayName":"Sante Health System","Names":"Sante Community Physicians Medical Group Corporation|Santé Health System|Santé Medi-Cal","Aliases":"1134|1537|SNTMC","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.santehealth.net","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GVPXO","PrimaryPayerId":"77038","DisplayName":"Sante Health System and Affiliates","Names":"Santé Health","Aliases":"1917|2281|77038|IFQMW|SANTE","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"77-0382381","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KAPXD","PrimaryPayerId":"SHM01","DisplayName":"Saudi Health Mission","Names":"","Aliases":"3008|8256|SHM01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://shm-us.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YUHML","PrimaryPayerId":"68423","DisplayName":"Savannah Business Group","Names":"SBG|TCN|The Care Network","Aliases":"4642|6161|68423","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"GA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.savannahbusinessgroup.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FKZCT","PrimaryPayerId":"SBMCO","DisplayName":"SBMA","Names":"Staff Benefits Management Administration","Aliases":"4047|8776|SBMCO","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://sbmabenefits.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AMKGH","PrimaryPayerId":"SPSCN","DisplayName":"SCAN Health Plan","Names":"SCAN HMO California|SCAN Health Maintenance Organization California|SCAN Health Plan California|Village Health Plan","Aliases":"10178|2983|4464|72261|72261MA|SCAN1|SCNHMO|SPSCN","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"AZ|CA|NV|NM|TX|WA","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.scanhealthplan.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KLEJQ","PrimaryPayerId":"73172","DisplayName":"SCAN Health Plan Arizona","Names":"","Aliases":"00212|5813|73172|73172MA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QMSKD","PrimaryPayerId":"TMDSA","DisplayName":"Schaller Anderson Aetna Medicaid Texas and CHIP","Names":"","Aliases":"TMDSA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.aetnabetterhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EXUAT","PrimaryPayerId":"AEMED","DisplayName":"Schaller Anderson Mercy Care","Names":"","Aliases":"10694|10996|AEMED","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"AZ","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.mercycareaz.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZGKDL","PrimaryPayerId":"TXCSA","DisplayName":"Schaller Anderson Texas Christus","Names":"","Aliases":"TXCSA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IYRXM","PrimaryPayerId":"J1104","DisplayName":"Schlumberger Technology","Names":"","Aliases":"J1104","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HZCEZ","PrimaryPayerId":"J1560","DisplayName":"Schnuck Market Incorporated","Names":"","Aliases":"J1560","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZFINL","PrimaryPayerId":"MPM54","DisplayName":"SCHS Alta Global Medical Care Group","Names":"MedPOINT Management","Aliases":"6094|9273|MPM54","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medpointmanagement.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GCGSM","PrimaryPayerId":"SCION","DisplayName":"Scion Dental (SKYGEN)","Names":"SKYGEN USA|Scion Dental","Aliases":"14332|SCION","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.skygenusa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NXNZF","PrimaryPayerId":"SDCOM","DisplayName":"Scion Dental Commercial (SKYGEN)","Names":"Scion Dental (Commercial)","Aliases":"SDCOM","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://pwp.sciondental.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MGHRN","PrimaryPayerId":"VHPCA","DisplayName":"Scippa - VHP Covered CARE","Names":"Scippa - VHP Covered CARE","Aliases":"VHPCA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.sccipa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FEHUF","PrimaryPayerId":"J1049","DisplayName":"Scotts Miracle-Gro Company","Names":"","Aliases":"J1049","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SGVFC","PrimaryPayerId":"SHPM1","DisplayName":"Scripps Health Plan","Names":"Scripps Health Plan Services","Aliases":"1199|2653|33099|SHPM1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL|MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.scrippshealthplan.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UAZAL","PrimaryPayerId":"SHPS1","DisplayName":"Scripps Health Plan Services","Names":"SHPS","Aliases":"6624|7102|SHPS1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL|MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.scrippshealthplanservices.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QIQXQ","PrimaryPayerId":"J1499","DisplayName":"SeaBright","Names":"SeaBright Insurance Company","Aliases":"J1499","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DRYEC","PrimaryPayerId":"SVIPA","DisplayName":"Seaview IPA","Names":"","Aliases":"1000|4259|MPM74|SVIPA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BZEFX","PrimaryPayerId":"SECUR","DisplayName":"SECUR Health Plan","Names":"","Aliases":"3426|8960|SECUR","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"FL","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://securhealthplan.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IAIKY","PrimaryPayerId":"86242","DisplayName":"SecureOne","Names":"SecureOne Benefit Administrators","Aliases":"2092|8239|86242","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.secureoneinc.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VJQZL","PrimaryPayerId":"35202","DisplayName":"Security Administrative Services","Names":" Insite By Security Health Plan|SAS|Security Health Plan","Aliases":"35202|35202MA|4412|4941","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.securityhealth.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SLWYB","PrimaryPayerId":"39045","DisplayName":"Security Health Plan","Names":"Security Health Plan of Wisconsin","Aliases":"10864|3522|39045|4588|5427|A9045|SECHP","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"WI","Programs":"COMMERCIAL|MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.securityhealth.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DHUFY","PrimaryPayerId":"TLX77","DisplayName":"Security Life Insurance Company of America","Names":"","Aliases":"CSLIC|TLX77","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OIOUO","PrimaryPayerId":"11001T","DisplayName":"Sedgwick","Names":"Claims Management Service Incorporated","Aliases":"11001T|CLMMS","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.sedgwick.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TXJVJ","PrimaryPayerId":"WX867","DisplayName":"Sedgwick","Names":"","Aliases":"00417|WX867","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.sedgwick.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DVWQD","PrimaryPayerId":"J4094","DisplayName":"Sedgwick Ancillary","Names":"Sedgwick Ancillary","Aliases":"J4094","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VCQWR","PrimaryPayerId":"J1661","DisplayName":"Sedgwick Cargill Incorporated","Names":"","Aliases":"J1661","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.sedgwick.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VTMWS","PrimaryPayerId":"TP097","DisplayName":"Sedgwick Claims Management Services","Names":"","Aliases":"TP097","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.sedgwick.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LWPGK","PrimaryPayerId":"LWPGK","DisplayName":"Sedgwick – Workers Compensation","Names":"Sedgwick (WC)","Aliases":"LWPGK","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.sedgwick.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DEFYJ","PrimaryPayerId":"20618","DisplayName":"SEIU Local 1 Cleveland Welfare Fund","Names":"Service Employees International Union Local 1 Cleveland Welfare Fund","Aliases":"20618","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"OH","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://seiuclefunds.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DGYSZ","PrimaryPayerId":"64088","DisplayName":"Select Administrative Services","Names":"Mississippi Select Health Care|Mississippi Select HealthCare|SAS","Aliases":"2951|3785|64088|SAS1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"MS","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.selectadministrativeservices.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LOZJR","PrimaryPayerId":"J1937","DisplayName":"Select Energy Services","Names":"","Aliases":"J1937","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TLTBQ","PrimaryPayerId":"SX107","DisplayName":"Select Health","Names":"Select Health Inc.|Select Health Utah|Select Health of Utah|SelectHealth","Aliases":"10575|12X37|1532|4480|CX107|SELHT|SELUT|SX107|TPC17|UH107|UTSLHT|Z0001|Z0001MA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"true","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"ID|NV|UT","Programs":"","PtanRequired":"false","ParentPayerGroupId":"FKWCK","ParentPayerGroupName":"Independence Holding Company","WebsiteUrl":"https://selecthealth.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EGPWC","PrimaryPayerId":"J1446","DisplayName":"Select Staffing Koosharem","Names":"Select Staffing Real Time Staffing|Select Staffing Remedy|Select Staffing Select Remedy and Westaff","Aliases":"J1446","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RMABE","PrimaryPayerId":"12572","DisplayName":"Selective","Names":"","Aliases":"12572","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.selective.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XGDTP","PrimaryPayerId":"WB653","DisplayName":"Selective Insurance (Work Comp)","Names":"","Aliases":"WB653","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.selective.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CRNYA","PrimaryPayerId":"C1077","DisplayName":"Selective Insurance Company of America","Names":"","Aliases":"9724|C1077","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.selective.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CKXKZ","PrimaryPayerId":"SFH48","DisplayName":"Self Fund Health","Names":"Carebot Health|SFH","Aliases":"SFH48","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://selffundhealth.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YWTXN","PrimaryPayerId":"34131","DisplayName":"Self Funded Plans","Names":"SFPI","Aliases":"34131|6494|8587","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://sfpiportal.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DPELY","PrimaryPayerId":"59111","DisplayName":"Self Insured Benefit Administrators","Names":"","Aliases":"59111","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WPXBN","PrimaryPayerId":"J1520","DisplayName":"Self-Insured Schools of California","Names":"Self-Insured Schools of California (SISC)","Aliases":"J1520","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CAOHR","PrimaryPayerId":"52214","DisplayName":"SelmanCo","Names":"One80 Intermediaries|Selman and Company","Aliases":"2028|52214|8164|SELMN","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NATIONAL","Programs":"TRICARE|VETERANS_AFFAIRS","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.selmanco.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LHLZL","PrimaryPayerId":"12274","DisplayName":"SelmanCo","Names":"Selman TRICARE|Selman Tricare","Aliases":"12274|TRSEL","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.selmanco.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SHJKA","PrimaryPayerId":"J1915","DisplayName":"Sempra Energy Employee Care Services","Names":"","Aliases":"J1915","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AGCUT","PrimaryPayerId":"MV440","DisplayName":"Sendero Health Plans","Names":"MediView Sendero IdealCare|Sendero","Aliases":"1077|8104|MV440|SCS17|UV440","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://senderohealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YLWPD","PrimaryPayerId":"R3496","DisplayName":"Senior Care Partners PACE","Names":"","Aliases":"R3496","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"MI","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://seniorcarepartnersmi.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TJAPU","PrimaryPayerId":"VNSPC","DisplayName":"Senior CommUnity Care PACE","Names":"Volunteers of America National Service","Aliases":"2735|7916|VNSPC","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"13-1692595","CoverageTypes":"medical","OperatingStates":"CO|KY|MD|MI|NC","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.sccpaceproviders.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UQRJB","PrimaryPayerId":"15682","DisplayName":"Senior Network Health","Names":"MVHS|Mohawk Valley Health System ","Aliases":"1266|15682|5574","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.mvhealthsystem.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JWKTJ","PrimaryPayerId":"SWHMA","DisplayName":"Senior Whole Health","Names":"Senior Whole Health SCO|Senior Whole Health by Molina Healthcare|Senior Whole Health of Massachusetts","Aliases":"10962|14352|6085|83035|9246|MOLINA_SWHMA|OGAHN|SWHMA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"ID|MA|NV|NY","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"WLBLT","ParentPayerGroupName":"Molina Healthcare Inc Group","WebsiteUrl":"https://www.molinahealthcare.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DPKRY","PrimaryPayerId":"SWHNY","DisplayName":"Senior Whole Health of New York","Names":"Molina Healthcare|Senior Whole Health of New York by Molina Healthcare","Aliases":"11225|14350|5068|7702|9115|AWLLNY|AWNY6|FPNRE|MOLINA_SWHNY|SWHNY","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"NY","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"WLBLT","ParentPayerGroupName":"Molina Healthcare Inc Group","WebsiteUrl":"https://www.molinahealthcare.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ADNKL","PrimaryPayerId":"54154","DisplayName":"Sentara Health Plans","Names":"Optima Health Behavioral Health|Optima Health Community Care|Sentara Behavioral Health Services|Sentara Health Administration|Sentara Health Insurance Company|Sentara Health Management","Aliases":"00453|10477|1285|54154|54154A|54154MA|5415M|7499|7567|OPTSNT|ULACG|VACMS|YEXEB","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"VA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"FKWIM","ParentPayerGroupName":"Sentara Health Management Group","WebsiteUrl":"https://www.sentarahealthplans.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VJTHT","PrimaryPayerId":"SENT1","DisplayName":"Sentara PACE","Names":"Sentara (pace)|Sentara Health","Aliases":"3796|9057|SENT1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"VA","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.sentara.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZWCNR","PrimaryPayerId":"87020","DisplayName":"Sentinel Security Life","Names":"Atlantic Coast Life Insurance|Catholic Life Insurance|Catholic United Financial|National Guardian Life Insurance|Pan American Life Insurance|Polish Falcons of America|Sentinel Security Life Insurance","Aliases":"1130|14374|4055|87020|SSLCO","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.sslco.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BHVEM","PrimaryPayerId":"64068","DisplayName":"Sentry Asset Management","Names":"","Aliases":"64068","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RFCAR","PrimaryPayerId":"C1033","DisplayName":"Sentry Auto","Names":"Sentry Insurance","Aliases":"C1033","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"AUTOMOBILE_MEDICAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.sentry.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XHQEU","PrimaryPayerId":"J1417","DisplayName":"Sentry Insurance","Names":"","Aliases":"J1417","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.sentry.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HZSPE","PrimaryPayerId":"AMM07","DisplayName":"Seoul Medical Group","Names":"","Aliases":"AMM07","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://seoulmedicalgroup.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PRCBL","PrimaryPayerId":"AGL01","DisplayName":"Sequoia Health IPA","Names":"Sequoia Health Independent Practice Association","Aliases":"AGL01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.sequoiahealthipa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JSFST","PrimaryPayerId":"IP085","DisplayName":"Sequoia Health Plan (Tulare-Kings County)","Names":"","Aliases":"IP085","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LPKQV","PrimaryPayerId":"8025","DisplayName":"Serendib Healthways","Names":"","Aliases":"4YC01|8025|9742","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HZJFS","PrimaryPayerId":"J1593","DisplayName":"Service Lloyds Insurance Company","Names":"","Aliases":"J1593","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HBNHR","PrimaryPayerId":"SHPCH","DisplayName":"Seton Health Plan (Children's Health Insurance Program)","Names":"","Aliases":"SHPCH","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IAKLA","PrimaryPayerId":"STAR1","DisplayName":"Seton Star","Names":"","Aliases":"5088|9138|STAR1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YKGCG","PrimaryPayerId":"25404","DisplayName":"Seven Corners","Names":"","Aliases":"25404|25404MA|3609|5144","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.sevencornershealthcare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JZEYF","PrimaryPayerId":"J1553","DisplayName":"SFM Mutual Insurance Company","Names":"","Aliases":"00323|J1553","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XRWDB","PrimaryPayerId":"11789","DisplayName":"SGIC","Names":"Southern Guaranty Insurance Company","Aliases":"1091|11789|8130","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://sgicinsurance.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WVUNV","PrimaryPayerId":"29094","DisplayName":"SGRX","Names":"ScriptGuideRX","Aliases":"29094|3867|9082","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.sgrxhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AGKBN","PrimaryPayerId":"52876","DisplayName":"Share HealthCare","Names":"","Aliases":"52876","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://sharehealthcare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UDSZS","PrimaryPayerId":"SHMS1","DisplayName":"Shared Health Mississippi","Names":"Shared Health","Aliases":"14435|7056|9438|SHMS1|SHTMS","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"MS","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"HBROI","ParentPayerGroupName":"Blue Cross Blue Shield of Tennessee","WebsiteUrl":"https://www.sharedhealthms.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PTLKZ","PrimaryPayerId":"10967","DisplayName":"Sharp Health Plan","Names":"","Aliases":"10967|7226|8643|SHARP|SHP01|SHP102","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.sharphealthplan.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QGYIB","PrimaryPayerId":"SCMG1","DisplayName":"Sharp Health Plan","Names":"Sharp Community Medical Group","Aliases":"7225|8642|SCMG1|SHP03","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.sharphealthplan.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XVBLI","PrimaryPayerId":"SRS83","DisplayName":"Sharp Rees-Stealy Medical Group","Names":"","Aliases":"7227|8644|SRS83","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.sharp.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NIJOD","PrimaryPayerId":"75280","DisplayName":"Shasta Administrative Services","Names":"","Aliases":"2966|3847|75280","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LQMAG","PrimaryPayerId":"J1468","DisplayName":"Shaw's Star Market","Names":"Shaws StarMarket","Aliases":"J1468","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IMXBE","PrimaryPayerId":"81778","DisplayName":"Sheet Metal Workers","Names":"SMW Local 263 Health & Welfare Fund|Sheet Metal Workers 36 Benefit Funds","Aliases":"00161|5067|67498|81778|9114","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"MO","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.smw36benefits.org","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZRXCY","PrimaryPayerId":"10752","DisplayName":"Shenandoah Life Insurance","Names":"Prosperity Life Group","Aliases":"10752|Z95721|Z96279","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"VA","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"LZRNA","ParentPayerGroupName":"Prosperity Life Insurance Group","WebsiteUrl":"https://www.prosperitylife.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LELBY","PrimaryPayerId":"98578","DisplayName":"Show Me Health Administrators","Names":"SMHA|Show-Me Health Administrators","Aliases":"3722|9032|98578","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://showmeadmin.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DKHQG","PrimaryPayerId":"SDCAR","DisplayName":"Sidecar Health","Names":"Sidecar Health Insurance Solutions, LLC","Aliases":"00415|2139|8535|SDCAR|SIDECAR","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://sidecarhealth.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NSYKH","PrimaryPayerId":"03699","DisplayName":"Sieba","Names":"","Aliases":"03699|7173|8614|SDS 03699","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NY","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.sieba.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QJXPW","PrimaryPayerId":"1508249525","DisplayName":"Signature Care - Jns","Names":"Signature Care - Jns","Aliases":"1508249525","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GIFBK","PrimaryPayerId":"77153","DisplayName":"SIHO Insurance Services","Names":"CGS Health|Caring Group Solutions Health|Community Health Network|Cook Group Solutions|DH Cook Associates|Deaconess Health System|Southeastern Indiana Health Organization","Aliases":"11197|16702|2542|4406|77153|IN432|SIHO|SOHPL","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.siho.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ESCYF","PrimaryPayerId":"77871","DisplayName":"SIHRTE","Names":"Sacramento Independent Hotel, Restaurant and Tavern Employees|SiHRTe","Aliases":"77871","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ourbenefitoffice.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LSULD","PrimaryPayerId":"NASCR","DisplayName":"Silver Cross Managed Care Organization","Names":"","Aliases":"NASCR","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IL","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.silvercross.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NRGRK","PrimaryPayerId":"SETMBR","DisplayName":"Silver Eel Tech","Names":"Silver Eel Technology","Aliases":"SETMBR|SILVEREEL","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://silvereeltech.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BFCXW","PrimaryPayerId":"97691","DisplayName":"Silver Star","Names":"Silver Star PACE","Aliases":"1146|1571|97691|R3480","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"TX","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://silverstar.org","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FNGPY","PrimaryPayerId":"27905","DisplayName":"SimplePay Health","Names":"Community Health Alliance Tennessee","Aliases":"27905|7155|7697","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.simplepayhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NSVSV","PrimaryPayerId":"89789","DisplayName":"Simplified Benefits Administrators","Names":"UC Health Plan Administrators|UCHealth Plan Administrators|University of Colorado Health Plan Administrators","Aliases":"3083|8711|89789","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://simplifiedbenefitsadministrators.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"POEXK","PrimaryPayerId":"SMPLY","DisplayName":"Simply Healthcare","Names":"Simply Healthcare Plans, Inc.|Wellpoint","Aliases":"10826|1096|27094|8124|SMPLH|SMPLY|SMPLYMA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"FL","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"VJLBL","ParentPayerGroupName":"Anthem","WebsiteUrl":"https://provider.simplyhealthcareplans.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GUWQM","PrimaryPayerId":"SIM02","DisplayName":"Simpra Advantage","Names":"","Aliases":"14388|6093|9271|GAOIN|SIM01|SIM02","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"AL","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://simpra.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GZPXU","PrimaryPayerId":"00540","DisplayName":"SISCO","Names":"Self-Insured Services Company|SisCo Benefits","Aliases":"00540|11129|1982|2491|36404|52001|5471|CX020|ENTNM|JTWCU|SISCO","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.siscobenefits.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JBYHU","PrimaryPayerId":"42150","DisplayName":"SISCO","Names":"BBSI|Butler Benefit Service Incorporated|Butler Benefit Services Incorporated","Aliases":"3250|42150|8946","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.siscobenefits.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HULWM","PrimaryPayerId":"J1898","DisplayName":"SISCO (Worker's Compensation)","Names":"","Aliases":"J1898","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.siscobenefits.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RQNFV","PrimaryPayerId":"BSKAI","DisplayName":"Skai Blue Cross Blue Shield","Names":"Arkansas Blue Cross Blue Shield|USAble Mutual Insurance Company","Aliases":"16718|3843|9075|BSKAI","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"NATIONAL","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.skaibluecross.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SGMGC","PrimaryPayerId":"SKYGN","DisplayName":"SKYGEN USA","Names":"Molina Healthcare","Aliases":"SKYGN","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"AZ|CA|FL|ID|IL|IN|IA|KY|MA|MI|MS|MO|NV|NM|NY|OH|SC|TX|UT|VA|WA|WI","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.skygenusa.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JXWVJ","PrimaryPayerId":"1821337650","DisplayName":"Skyline Healthcare - Uhp","Names":"Skyline Healthcare - Uhp","Aliases":"1821337650","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WYMAP","PrimaryPayerId":"J1824","DisplayName":"Smart and Final","Names":"Smart & Final","Aliases":"J1824","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CRNVJ","PrimaryPayerId":"02057","DisplayName":"Smith Administrators (Lucent Health)","Names":"Smith Administrators","Aliases":"02057|3467","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://lucenthealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YDHCB","PrimaryPayerId":"J1105","DisplayName":"Snap-on Incorporated","Names":"","Aliases":"J1105","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.snapon.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PLRMF","PrimaryPayerId":"A7637","DisplayName":"Snedeker Risk Management","Names":"","Aliases":"1891|3964|A7637","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"IL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://clientsadvocate.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VPKXV","PrimaryPayerId":"SNMIS","DisplayName":"SNMIS (Safety Net Management Information System)","Names":"Iowa Behavioral Health Service System|Iowa Medicaid SNMIS","Aliases":"18049A|3707|9027|SNMIS","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"DAYS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"DAYS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IA","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://hhs.iowa.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JZVKL","PrimaryPayerId":"SLRT1","DisplayName":"SolarteHealth","Names":"","Aliases":"9244|SLRT1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"MN|WI","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://solartehealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QTHNS","PrimaryPayerId":"77721","DisplayName":"Solidarity HealthShare","Names":"","Aliases":"1087|77721|8114|SH777","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://solidarityhealthshare.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PCOFI","PrimaryPayerId":"SOLIS","DisplayName":"Solis Health Plans","Names":"","Aliases":"2047|73581|8168|SOLIS","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"FL","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://solishealthplans.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NKTIX","PrimaryPayerId":"76578","DisplayName":"Solstice","Names":"Claims Management Systems|Solstice Administrators|Solstice Benefits|Solstice DHMO|Solstice Health Insurance Company|Solstice Healthplans","Aliases":"76578|9250","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.solsticebenefits.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UTPRM","PrimaryPayerId":"J1106","DisplayName":"Solvay America Incorporated","Names":"","Aliases":"J1106","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FBZRY","PrimaryPayerId":"81508","DisplayName":"SOMOS Innovation (Empire BCBS)","Names":"SOMOS Innovation (Anthem New York)|SOMOS Innovation (Empire Blue Cross Blue Shield)|Somos (Anthem New York)","Aliases":"3080|81508|8708","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NY","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"VJLBL","ParentPayerGroupName":"Anthem","WebsiteUrl":"https://somosinnovation.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MSTJC","PrimaryPayerId":"A0339","DisplayName":"Sonder Health Plans","Names":"","Aliases":"16592|1740|1916|A0339|A0339MA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"GA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://sonderhealthplans-inreceivership.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JUTBO","PrimaryPayerId":"J1381","DisplayName":"Sonic Automotive Incorporated","Names":"","Aliases":"J1381","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TIFKX","PrimaryPayerId":"SAMG1","DisplayName":"South Atlantic Medical Group","Names":"","Aliases":"1122|1550|SAMG1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.southatlanticmedicalgroupipa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DEYEH","PrimaryPayerId":"J1731","DisplayName":"South Coast Area Transit (California)","Names":"Gold Coast Transit District","Aliases":"J1731","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.gctd.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FOHXH","PrimaryPayerId":"81600","DisplayName":"South Country Health Alliance","Names":"","Aliases":"1039|14322|14323|7868|81600","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"MN","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.mnscha.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NTQEZ","PrimaryPayerId":"SDAWC","DisplayName":"South Dakota All Women Count","Names":"State of South Dakota DOH/AWC!","Aliases":"1823|3601|SDAWC","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"SD","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.getscreenedsd.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GKLQZ","PrimaryPayerId":"STARS","DisplayName":"South Dakota Medicaid - STARS","Names":"","Aliases":"2155|STARS","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"SD","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://dss.sd.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YQLGM","PrimaryPayerId":"35227","DisplayName":"South Point Hotel & Casino","Names":"","Aliases":"2447|35227","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NV","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://southpointteam.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JULRN","PrimaryPayerId":"28580","DisplayName":"South Tahoe Refuse","Names":"","Aliases":"28580","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EYSCI","PrimaryPayerId":"J1865","DisplayName":"Southeast Leasing (Packard Claims Administration)","Names":"","Aliases":"J1865","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZKGDI","PrimaryPayerId":"J1817","DisplayName":"Southern California Edison","Names":"","Aliases":"J1817","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.sce.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KNCWH","PrimaryPayerId":"SIH99","DisplayName":"Southern Illinois Healthcare Association","Names":"SIH","Aliases":"SIH99","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.sih.net","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JRPXG","PrimaryPayerId":"J1648","DisplayName":"Southern Textile Recycling Incorporated (California)","Names":"","Aliases":"J1648","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RDYHR","PrimaryPayerId":"7151","DisplayName":"Southland Advantage Medical Group","Names":"HealthSmart|Southland San Gabriel Valley|Southland San Gabriel Valley Medical Group","Aliases":"7151|PHM11","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://samgipa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PZSUD","PrimaryPayerId":"V47936","DisplayName":"Southland Benefit Solutions LLC (Canopy Vision)","Names":"","Aliases":"00093|9265|SBS01|V47936","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|vision","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.canopyinsurancecorp.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YSFGF","PrimaryPayerId":"J1233","DisplayName":"Southwest Airlines","Names":"Southwest Airlines (SWA)","Aliases":"J1233","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.southwest.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GUABS","PrimaryPayerId":"A3268","DisplayName":"Southwest Michigan Behavioral Health (Mental Health)","Names":"","Aliases":"8032|9748|A3268","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"MI","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.swmbh.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KPSEA","PrimaryPayerId":"A4585","DisplayName":"Southwest Michigan Behavioral Health (Substance Use Disorder)","Names":"","Aliases":"A4585","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"MI","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.swmbh.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QCIWS","PrimaryPayerId":"SWPG1","DisplayName":"Southwest Physicians Group","Names":"","Aliases":"1123|1554|SWPG1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PQTRT","PrimaryPayerId":"CX100","DisplayName":"Southwest Service Administrators","Names":"Southwest Service Admins","Aliases":"1184|2555|2705|36822|7575|88054|BOCHZ|CX100|CXJAS","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ssatpa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZMRKB","PrimaryPayerId":"37266","DisplayName":"Southwest Service Life","Names":"","Aliases":"3244|37266|3963","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TX","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://southwestservicelife.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YBQNX","PrimaryPayerId":"IHS17","DisplayName":"Specialty Care Program","Names":"","Aliases":"1430|1589|IHS17","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QKMUM","PrimaryPayerId":"10936","DisplayName":"Spectrum Health","Names":"","Aliases":"10936","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"PA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BUGZN","PrimaryPayerId":"38416","DisplayName":"Spencer Stuart (Advanced RISC Machines Ltd)","Names":"Alternative Risk Management|Spencer Stuart (ARM Ltd)","Aliases":"38416|7791|8534","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.altrisk.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XFKXQ","PrimaryPayerId":"SPJMS","DisplayName":"SPJST","Names":"Slovanska Podporujici Jednota Statu Texas","Aliases":"SPJMS","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"TX","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://spjst.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IGYHU","PrimaryPayerId":"J1922","DisplayName":"Springfield Insurance Company","Names":"","Aliases":"J1922","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XFIXH","PrimaryPayerId":"J1850","DisplayName":"Sprouts Farmers Market Incorporated","Names":"","Aliases":"J1850","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BYRBG","PrimaryPayerId":"92170","DisplayName":"St Luke Health Plan Inc","Names":"","Aliases":"3415|9007|92170","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"ID","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.stlukeshealthplan.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GHEYV","PrimaryPayerId":"SPPCA","DisplayName":"St Paul's PACE","Names":"St. Paul's PACE - Health Plan","Aliases":"3454|9003|SPPCA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.stpaulspace.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZUMTE","PrimaryPayerId":"MPM31","DisplayName":"St. Francis - Allcare by MedPoint","Names":"MedPOINT Management|St. Francis - AllCare by MedPoint","Aliases":"8145|MPM31","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medpointmanagement.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DGYEL","PrimaryPayerId":"MPM30","DisplayName":"St. Francis - HCLA by MedPoint","Names":"MedPOINT Management|St. Francis - Health Care Los Angeles By Medpoint","Aliases":"1059|7886|MPM30","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medpointmanagement.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LZJXL","PrimaryPayerId":"J1926","DisplayName":"St. Paul Insurance","Names":"","Aliases":"J1926","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IOEQL","PrimaryPayerId":"37116","DisplayName":"St. Therese Physician Association","Names":"","Aliases":"1851|3088|37116","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PUZOZ","PrimaryPayerId":"100928","DisplayName":"Standard Life and Accident Insurance Company","Names":"Standard Insurance Company|The Standard Life Insurance Company of New York","Aliases":"01758|100928|10593|13411|5620|6255|73099|89009|AMTAS00430|PVEOH|SLAIC|STICC","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.standard.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CDYAQ","PrimaryPayerId":"J1939","DisplayName":"Stanley Steemer International Incorporated","Names":"","Aliases":"J1939","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WHPCO","PrimaryPayerId":"J1385","DisplayName":"Stanley Works Incorporated","Names":"Stanley Works, Incorporated","Aliases":"J1385","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YDTGF","PrimaryPayerId":"J1107","DisplayName":"Stant Corporation","Names":"","Aliases":"J1107","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LNLWC","PrimaryPayerId":"STARH","DisplayName":"StarLife Holdings","Names":"StarLife Health Plan","Aliases":"2889|8094|STARH","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://starlifeholdings.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QREOF","PrimaryPayerId":"IHS08","DisplayName":"StarMed Administrators","Names":"Tervist","Aliases":"5064|9109|IHS08","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://starmedadministrators.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RVHQV","PrimaryPayerId":"J1720","DisplayName":"State Accident Insurance Fund (SAIF) Corporation","Names":"","Aliases":"J1720","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XBNEM","PrimaryPayerId":"J1538","DisplayName":"State Compensation Insurance Fund Arizona","Names":"SCIF Arizona","Aliases":"J1538","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LGRPN","PrimaryPayerId":"31059","DisplayName":"State Farm Insurance (Property and Casualty/Auto)","Names":"","Aliases":"2156|31059|5971","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"AUTOMOBILE_MEDICAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.statefarm.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LTJRF","PrimaryPayerId":"31053","DisplayName":"State Farm Insurance Companies","Names":"State Farm Group Medical & Individual Health Ins Companies|State Farm Mutual Automobile Insurance Company","Aliases":"31053|5419|6573|STFARM","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.statefarm.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JVLDG","PrimaryPayerId":"JVLDG","DisplayName":"State Farm Insurance Companies – Workers Compensation","Names":"State Farm Insurance Companies (WC)","Aliases":"JVLDG","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.statefarm.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DIZHX","PrimaryPayerId":"10645","DisplayName":"State Farm Medicare Supplement","Names":"State Farm Insurance Companies","Aliases":"10645|J1548","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.statefarm.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LFXVJ","PrimaryPayerId":"35076","DisplayName":"State Fund","Names":"SCIF|State Compensation Insurance Fund","Aliases":"35076","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.statefundca.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SUTMX","PrimaryPayerId":"10750","DisplayName":"State Mutual","Names":"State Mutual Insurance Company|State Mutual Med Supplement|State Mutual-Lincoln Novation","Aliases":"10750|10982|Z96277","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://statemutualinsurance.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RHWVB","PrimaryPayerId":"12113","DisplayName":"State of Idaho Department of Health and Welfare","Names":"","Aliases":"1201|12113","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IEGQG","PrimaryPayerId":"IDWH01","DisplayName":"State of Idaho Women's Health Check","Names":"","Aliases":"5098|9147|IDWH01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://healthandwelfare.idaho.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KBVBH","PrimaryPayerId":"J1555","DisplayName":"State of Minnesota Department of Employee Relations","Names":"","Aliases":"J1555","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PNPKG","PrimaryPayerId":"J1659","DisplayName":"State of North Carolina","Names":"NC Office of State Human Resources","Aliases":"J1659","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NC","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://oshr.nc.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YHKJB","PrimaryPayerId":"57254","DisplayName":"State Of Texas Dental Plan","Names":"","Aliases":"57254","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"TX","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://ers.texas.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NEJZF","PrimaryPayerId":"J1418","DisplayName":"State Office of Risk Management","Names":"","Aliases":"J1418","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JNYNJ","PrimaryPayerId":"ISLAH","DisplayName":"StayWell Guam","Names":"Island Home Insurance","Aliases":"10675|2080|8225|85502|ISLAH","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"GU","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.staywellguam.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GVKGQ","PrimaryPayerId":"7285637733","DisplayName":"Steamfitters Local 420","Names":"Steamfitters Local 420","Aliases":"7285637733","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"PA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.lu420.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UQKWC","PrimaryPayerId":"DISCOVERY","DisplayName":"Stedi Insurance Discovery","Names":"","Aliases":"DISCOVERY","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"ONE_CLICK","EligibilityInquiryEnrollmentTimeframe":"HOURS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FRCPB","PrimaryPayerId":"STEDI","DisplayName":"Stedi Test Payer","Names":"","Aliases":"STEDI|STEDITEST","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.stedi.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TJBNX","PrimaryPayerId":"SMG10","DisplayName":"Stewart Medical Group","Names":"","Aliases":"SMG10","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://stewartmedicalgroup.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VZDYO","PrimaryPayerId":"06089","DisplayName":"Stirling Benefits (90 Degree Benefits)","Names":"Stirling & Stirling","Aliases":"06089|1601|1988878|5226","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://90degreebenefits.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YEBAH","PrimaryPayerId":"RP010","DisplayName":"Stones River Regional IPA Amerivantage","Names":"TDS SRRIPA AMERIVANTAGE","Aliases":"RP010","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XHQJV","PrimaryPayerId":"RP011","DisplayName":"Stones River Regional IPA- Wellcare","Names":"TDS SRRIPA WELLCARE","Aliases":"RP011","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GYRGZ","PrimaryPayerId":"STORK","DisplayName":"Stork Club Fertility, Inc.","Names":"","Aliases":"2777|STORK","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VXWVW","PrimaryPayerId":"VXWVW","DisplayName":"STRATEGIC COMP CLAIMS – Workers Compensation","Names":"STRATEGIC COMP CLAIMS","Aliases":"VXWVW","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EASRX","PrimaryPayerId":"J4606","DisplayName":"Streamline Imaging - Streamline PT","Names":"","Aliases":"J4606","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GEWRU","PrimaryPayerId":"J4481","DisplayName":"Streamline Imaging - Streamline PT","Names":"","Aliases":"00454|J4481","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://streamlineworkcomp.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FWEVE","PrimaryPayerId":"10183","DisplayName":"Student Insurance","Names":"Student Assurance Services","Aliases":"10183|5002|8847|SAS01","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"FL|GA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WVPHC","PrimaryPayerId":"74227","DisplayName":"Student Resources (UnitedHealthcare)","Names":"","Aliases":"10938|4593|6465|74227|STDNT","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"FIVMG","ParentPayerGroupName":"UnitedHealth Group","WebsiteUrl":"","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JQZWZ","PrimaryPayerId":"JQZWZ","DisplayName":"SUFFOLK COUNTY RISK MANAGEMENT – Workers Compensation","Names":"SUFFOLK COUNTY RISK MANAGEMENT","Aliases":"JQZWZ","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ODEWC","PrimaryPayerId":"95202","DisplayName":"SummaCare Health Plan","Names":"","Aliases":"10294|1755|2544|589|95202|95202MA|SUMCHP","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"34-1726655","CoverageTypes":"dental|medical","OperatingStates":"OH","Programs":"COMMERCIAL|MEDICARE","PtanRequired":"false","ParentPayerGroupId":"VKWJG","ParentPayerGroupName":"Summa Health Group","WebsiteUrl":"https://www.summacare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BKQMN","PrimaryPayerId":"86083","DisplayName":"Summit Administration Services","Names":"Summit Administrators Incorporated","Aliases":"1114|86083|9524","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.summit-inc.net","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YOGZY","PrimaryPayerId":"PASSE","DisplayName":"Summit Community Care","Names":"Provider-Led Arkansas Shared Savings Entity","Aliases":"12276|2002|8134|PASSE","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"AR","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://provider.summitcommunitycare.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CRBWX","PrimaryPayerId":"J1108","DisplayName":"Summit Health Ltd","Names":"Summit Health Limited","Aliases":"J1108","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ITWIJ","PrimaryPayerId":"J1437","DisplayName":"Summit Holdings","Names":"","Aliases":"J1437","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CPTEZ","PrimaryPayerId":"70408","DisplayName":"Sun Life","Names":"ASSURANT EMPLOYEE BENEFITS|ASSURANT HEALTH|Assurant Employee Benefits (Now Sun Life)|Assurant Health (Now Sun Life)|GE Group Life / Administrators / Financial|Genworth Life Insurance Company|Phoenix American|SUN LIFE FINANCIAL - PHOENIX HOME LIFE|Sun Life Financial/Phoenix Home Life|UNION SECURITY INSURANCE COMPANY","Aliases":"1381082080|67814|70408|8806|ETZCF","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"OVER_4_WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.sunlife.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JROFE","PrimaryPayerId":"J1610","DisplayName":"Sun Mar Healthcare","Names":"","Aliases":"J1610","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZEDFI","PrimaryPayerId":"10758","DisplayName":"Sunflower State Health Plan","Names":"","Aliases":"10758","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"KS","Programs":"","PtanRequired":"false","ParentPayerGroupId":"RZIUK","ParentPayerGroupName":"Centene Corporation Group","WebsiteUrl":"https://www.sunflowerhealthplan.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WLKTG","PrimaryPayerId":"R3498","DisplayName":"Sunrise PACE","Names":"","Aliases":"3708|9028|R3498","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"MI","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://region7aaa.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZASYJ","PrimaryPayerId":"J1584","DisplayName":"Sunz Insurance Company","Names":"","Aliases":"J1584","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SFNMO","PrimaryPayerId":"97802","DisplayName":"Superior Insurance Services","Names":"UABT|United Ag|United Agricultural Benefit Trust","Aliases":"1228|4529|97802","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.unitedag.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IPUKT","PrimaryPayerId":"13305","DisplayName":"Superior Vision","Names":"Superior Vision Services|SuperiorVision|Versant Health|VersantHealth","Aliases":"13305|13374|41352|6195","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://superiorvision.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OAJAV","PrimaryPayerId":"J1804","DisplayName":"Supreme Court of California","Names":"","Aliases":"J1804","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DEGWM","PrimaryPayerId":"89207","DisplayName":"Surego Administrative Services","Names":"","Aliases":"89207","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://mysurego.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QSOCK","PrimaryPayerId":"25463","DisplayName":"Surest","Names":"Bind","Aliases":"00229|14407|2007|25463|8139|BIND","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"NATIONAL","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"FIVMG","ParentPayerGroupName":"UnitedHealth Group","WebsiteUrl":"https://www.surest.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BXZIS","PrimaryPayerId":"SOIPA","DisplayName":"Surgery One IPA","Names":"Surgery One Independent Practice Association","Aliases":"1261|SOIPA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CGZPE","PrimaryPayerId":"77035","DisplayName":"Sutter Connect - Central Valley Med Group","Names":"","Aliases":"4788|77035","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.sutterhealth.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UXNRY","PrimaryPayerId":"SC003","DisplayName":"Sutter Connect - Sutter Gould Medical Foundation (SGMF)","Names":"","Aliases":"4713|9669|IP091|SC003","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.sutterhealth.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AYUCX","PrimaryPayerId":"SC052","DisplayName":"Sutter Connect East Bay Region Hospitals","Names":"Sutter East Bay Regional Hospital","Aliases":"7003|9285|96176|SC052","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.sutterhealth.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WEMPM","PrimaryPayerId":"SC004","DisplayName":"Sutter Connect Independent Physicians (SIP)","Names":"Sutter Medical Foundation|Sutter Medical Group (SMG)|Sutter West Medical Group (SWMG)","Aliases":"87163|HM057|IP092|S1000|SC004","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.sutterhealth.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TUCJC","PrimaryPayerId":"94269","DisplayName":"Sutter East Bay Medical Foundation","Names":"","Aliases":"1698|4274|4705|94269|IP130","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.sutterhealth.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TLNQM","PrimaryPayerId":"J1512","DisplayName":"Sutter Health","Names":"","Aliases":"J1512","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.sutterhealth.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BTALR","PrimaryPayerId":"60624","DisplayName":"Sutter Health Aetna","Names":"","Aliases":"60624|7781|SUTAET","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"IWQUE","ParentPayerGroupName":"Aetna (CVS Group)","WebsiteUrl":"https://www.aetna.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ETOIY","PrimaryPayerId":"13287","DisplayName":"Sutter Health Plan","Names":"Sutter Health Plus","Aliases":"13287|S4700","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.sutterhealthplan.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HWLNZ","PrimaryPayerId":"10941","DisplayName":"Sutter Select","Names":"Sutter Health","Aliases":"10941","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BQZXC","PrimaryPayerId":"SC028","DisplayName":"Sutter Senior Care","Names":"","Aliases":"1552|6813|SC028","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.sutterhealth.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ODTVU","PrimaryPayerId":"36411","DisplayName":"Swedish Covenant Hospital","Names":"Endeavor Health|Swedish Hospital","Aliases":"36411|6848|9510","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.endeavorhealth.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UBUWT","PrimaryPayerId":"J1109","DisplayName":"Swift Transportation","Names":"","Aliases":"J1109","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YRCEJ","PrimaryPayerId":"37282","DisplayName":"Symetra","Names":"Select Benefit Administrators of America|Symetra Life Insurance Company","Aliases":"2747|37282|3988","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.symetra.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ADTQZ","PrimaryPayerId":"SNTRQ","DisplayName":"Syntriq Health Solutions","Names":"","Aliases":"4062|9183|SNTRQ","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://syntriqhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZPJPV","PrimaryPayerId":"1538265780","DisplayName":"Tahoe Forest Hosp District -Brms","Names":"Tahoe Forest Health System|Tahoe Forest Hosp District -Brms","Aliases":"1538265780","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.tfhd.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KJPFA","PrimaryPayerId":"98022","DisplayName":"TakeCare Insurance Company","Names":"TakeCare/FHP","Aliases":"4085|8827|98022","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"GU|MP","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.takecareasia.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KHLSL","PrimaryPayerId":"88067","DisplayName":"Tall Tree Administrators","Names":"","Aliases":"4465|4935|88067","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://talltreehealth.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VMBIW","PrimaryPayerId":"26748","DisplayName":"Tango","Names":"Professional Health Care Network|Tango Care","Aliases":"26748|6062|9217","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://tangocare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ETVFU","PrimaryPayerId":"65800","DisplayName":"Taylor Benefit Resource","Names":"TBR","Aliases":"65800","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"GA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.tbrtpa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WVGHO","PrimaryPayerId":"TAYLR","DisplayName":"TBR","Names":"TBRTPA|Taylor Benefit Resource|Taylor Benefits","Aliases":"7298|TAYLR","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.tbrtpa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UHEXE","PrimaryPayerId":"SX160","DisplayName":"TCC Benefits Administrator","Names":"Thomas H. Cooper & Company","Aliases":"SX160|TCC93","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"SC","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://tccba.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HGPND","PrimaryPayerId":"36215","DisplayName":"TeamCare","Names":"Central States Fund|Central States Health Plan|Central States Health and Life|Central States Health and Welfare Fund|Central States, Southeast and Southwest Areas, Health and Welfare Fund","Aliases":"100429|10486|13281|36215|4507|6492|75177|CSFND|CSTFND","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://myteamcare.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LZKZV","PrimaryPayerId":"43619","DisplayName":"Teamsters Local 688","Names":"","Aliases":"43619","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"MO","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://688online.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OHXVA","PrimaryPayerId":"J1855","DisplayName":"Technology Insurance Company","Names":"","Aliases":"J1855","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OWHED","PrimaryPayerId":"TEDDY","DisplayName":"Teddy Health","Names":"","Aliases":"TEDDY","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MBNBE","PrimaryPayerId":"22483","DisplayName":"Telamon","Names":"","Aliases":"22483","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MZPMZ","PrimaryPayerId":"63100","DisplayName":"Telus Health","Names":"Behavioral Health Systems","Aliases":"1012|11227|6106|63100|BHRHS","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.telushealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XQHSD","PrimaryPayerId":"89244","DisplayName":"Tempest Technologies (University of California Santa Barbara Basic Automated Services Interface)","Names":"Tempest Technologies (UCS BASI)","Aliases":"89244","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RTDNE","PrimaryPayerId":"20212","DisplayName":"Tethys Health Ventures","Names":"","Aliases":"20212|5842|6570","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://tethyshealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"POTBF","PrimaryPayerId":"A0235","DisplayName":"Texas A&M","Names":"","Aliases":"A0235","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WRADB","PrimaryPayerId":"A0234","DisplayName":"Texas Association of School Boards (TASB)","Names":"","Aliases":"A0234","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RMWCX","PrimaryPayerId":"J1581","DisplayName":"Texas Builders Insurance Company","Names":"","Aliases":"J1581","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BDTVZ","PrimaryPayerId":"75228","DisplayName":"Texas Children's Health Plan","Names":"Texas Children's Health Plan (Medicaid) STAR & STAR Kids|Texas Children's Hospital|Texas Childrens Health Plan (Star Medicaid / Medicaid Managed Care)","Aliases":"14372|1911|2483|75228|75228MC|TXCSM","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TX","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.texaschildrenshealthplan.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HVTQZ","PrimaryPayerId":"88221","DisplayName":"Texas Health Aetna","Names":"","Aliases":"1262|5531|88221","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PDXDT","PrimaryPayerId":"THS01","DisplayName":"Texas HealthSpring","Names":"","Aliases":"THS01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GTEWO","PrimaryPayerId":"31403","DisplayName":"Texas Independence Health Plan","Names":"Texas Independence Health Plan","Aliases":"00479|15554|3068|31403|8471","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"TX","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.txindependencehealthplan.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SRKHL","PrimaryPayerId":"22945","DisplayName":"Texas Mutual Insurance","Names":"","Aliases":"22945","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CAIGM","PrimaryPayerId":"J1921","DisplayName":"Texas Political Subdivisions Joint Self-Insurance Fund","Names":"Texas Political Subdivision JSIF","Aliases":"J1921","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"TX","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://tpspool.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BTYGW","PrimaryPayerId":"J1676","DisplayName":"Texas Roadhouse Incorporated","Names":"","Aliases":"J1676","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BZIZW","PrimaryPayerId":"J1110","DisplayName":"Texas Small Business Pool","Names":"","Aliases":"J1110","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QLDGX","PrimaryPayerId":"TXCARE","DisplayName":"TexiCare","Names":"","Aliases":"2265|2541|TXCAR|TXCARE","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MGWYC","PrimaryPayerId":"88461","DisplayName":"The Alliance","Names":"Alliance HealthPlans of WI|Alliance HealthPlans of Wisconsin|Alliance/Trilogy","Aliases":"16748|1935|2712|88461","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"WI","Programs":"","PtanRequired":"false","ParentPayerGroupId":"FIVMG","ParentPayerGroupName":"UnitedHealth Group","WebsiteUrl":"https://the-alliance.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OGAJC","PrimaryPayerId":"TBGNE","DisplayName":"The Benefit Group Incorporated","Names":"TBG","Aliases":"46482|7438|9628|TBGNE","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NE","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://tbgco.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TXKZM","PrimaryPayerId":"BOONG","DisplayName":"The Boon Group","Names":"","Aliases":"10821|3930|4278|BOONG|BOONGR","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.boongroup.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VKRVC","PrimaryPayerId":"75600","DisplayName":"The City of Odessa","Names":"","Aliases":"2545|3245|75600","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TX","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.odessa-tx.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QRISF","PrimaryPayerId":"TCPA1","DisplayName":"The Colorado Purchase Alliance","Names":"","Aliases":"8020|9739|TCPA1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CO","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://cbghealth.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SZEPR","PrimaryPayerId":"TDN02","DisplayName":"The Dental Network of Maryland","Names":"","Aliases":"TDN01|TDN02","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"MD","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://carefirst.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BHEQM","PrimaryPayerId":"J1671","DisplayName":"The Gap Incorporated","Names":"","Aliases":"J1671","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KWROA","PrimaryPayerId":"C1050","DisplayName":"The General Insurance","Names":"","Aliases":"C1050","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.thegeneral.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RFOWL","PrimaryPayerId":"J1422","DisplayName":"The Hartford","Names":"","Aliases":"J1422","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.thehartford.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OIMUZ","PrimaryPayerId":"95677","DisplayName":"The Health Plan of West Virginia Inc","Names":"Hometown Health Network|The Health Plan","Aliases":"10657|14403|2824|34150|7551|95677|HLTPLN|HPOUV|HPOUVMA|LYJWQ","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"WV","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.healthplan.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GKDPN","PrimaryPayerId":"29018","DisplayName":"The Health Plan of Western Illinois (HOWI)","Names":"The Health Plan of Western Illinois","Aliases":"29018|7156|7698","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DTJGB","PrimaryPayerId":"THEHG","DisplayName":"The Holman Group","Names":"","Aliases":"THEHG","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.holmangroup.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DMKRG","PrimaryPayerId":"J1791","DisplayName":"THE Insurance","Names":"T H E Insurance","Aliases":"J1791","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"COJIB","PrimaryPayerId":"J1846","DisplayName":"The Jones Financial Companies LLP","Names":"The Jones Financial Companies Limited Liability Partnership","Aliases":"J1846","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XJXZG","PrimaryPayerId":"96708","DisplayName":"The Lewer Agency- Hi Tech Contract-Icl 1309","Names":"Lewer Companies|LewerMark|The Lewer Agency- Hi Tech Contract","Aliases":"96708","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://lewer.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IJWPK","PrimaryPayerId":"23223","DisplayName":"The Loomis Company","Names":"Loomis Benefits","Aliases":"100580|10755|23223|5444|5541|LOOMCO|LOOMS","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.loomisco.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SDUSV","PrimaryPayerId":"J1615","DisplayName":"The Men's Warehouse Incorporated","Names":"The Men's Wearhouse Incorporated","Aliases":"J1615","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XTKIS","PrimaryPayerId":"04320","DisplayName":"The Preferred Healthcare System","Names":"The Preferred HealthCare System PPO|The Preferred Healthcare System Preferred Provider Organization","Aliases":"04320|2524|2814","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://phsppo.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VJXBE","PrimaryPayerId":"J1472","DisplayName":"The Salvation Army","Names":"","Aliases":"J1472","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WOIOC","PrimaryPayerId":"J1111","DisplayName":"The Scotts Company","Names":"","Aliases":"J1111","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RUGNS","PrimaryPayerId":"93024","DisplayName":"The Standard","Names":"StanCorp Financial Group, Inc.|Standard Insurance Company (Portland, Oregon)|The Standard Life Insurance Company of New York","Aliases":"00429|69019|8790|93024","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"AVGIH","ParentPayerGroupName":"Meiji Yasuda Life Insurance Group","WebsiteUrl":"https://www.standard.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KAWBJ","PrimaryPayerId":"13269","DisplayName":"The Zenith","Names":"Fairfax|Zenith Insurance Company","Aliases":"13269|46480","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.thezenith.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PJUHN","PrimaryPayerId":"75296","DisplayName":"The Zero Card","Names":"","Aliases":"4025|75296|8754","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://zero.health","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ESRNU","PrimaryPayerId":"J1831","DisplayName":"Therapy Direct Network","Names":"","Aliases":"J1831","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EYDBY","PrimaryPayerId":"TNPR1","DisplayName":"Therapy Network of Puerto Rico","Names":"Health Network One|TNPR","Aliases":"TNPR1","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"PR","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://therapynetwork.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FEKJO","PrimaryPayerId":"RP044","DisplayName":"Thome PACE","Names":"The Cascade PACE|Thome Program of All-Inclusive Care for the Elderly","Aliases":"7034|9418|RP044","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"MI","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.thomepace.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ILGNB","PrimaryPayerId":"MP340","DisplayName":"Three Rivers Preferred","Names":"Lutheran Health Network|MPAS|MedPartners|MedPartners Administrative Services","Aliases":"1109|6031|MP340","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medpartnersonline.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AZNDI","PrimaryPayerId":"30167","DisplayName":"Thrivent","Names":"Thrivent Financial Aid Association for Lutheran Medicare|Thrivent Financial for Lutherans","Aliases":"11158|1190|1191|2564|2565|30166|30167|THRIV|THRIVENT|THRVNT","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.thrivent.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PFVWK","PrimaryPayerId":"J1392","DisplayName":"Tidewater Marine Western","Names":"","Aliases":"J1392","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HFLEJ","PrimaryPayerId":"58600","DisplayName":"Tift Regional","Names":"Southwell","Aliases":"58600","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://mysouthwell.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FUFQG","PrimaryPayerId":"TLC79","DisplayName":"TLC Benefit Solutions","Names":"TLC Advantage in Sioux Falls","Aliases":"5182|7197|7954|8633|TLC01|TLC79","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.tlcbenefitsolutions.net","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UBHFK","PrimaryPayerId":"10688","DisplayName":"TMG Health Insurance","Names":"","Aliases":"10688","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MYEJR","PrimaryPayerId":"A0245","DisplayName":"TML Risk Pool","Names":"Texas Municipal League Intergovernmental Risk Pool","Aliases":"A0245","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TX","Programs":"WORKERS_COMPENSATION|AUTOMOBILE_MEDICAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://tmlirp.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DIGJW","PrimaryPayerId":"A2184","DisplayName":"Today's Health","Names":"","Aliases":"A2184","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KZQGA","PrimaryPayerId":"J2289","DisplayName":"Tokio Marine HCC","Names":"","Aliases":"J2289","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YMJQE","PrimaryPayerId":"J1537","DisplayName":"Topa Insurance Company","Names":"","Aliases":"J1537","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LCJTA","PrimaryPayerId":"THIPA","DisplayName":"Torrance Hospital Independent Practice Association","Names":"Torrance Hospital IPA","Aliases":"4222|8593|THIPA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MWHUB","PrimaryPayerId":"TMIPA","DisplayName":"Torrance Hospital Independent Practice Association","Names":"","Aliases":"TMIPA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.torrancememorialipa.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"THPOG","PrimaryPayerId":"TMMC1","DisplayName":"Torrance Memorial","Names":"","Aliases":"7801|8566|TMMC1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.torrancememorial.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RUWVA","PrimaryPayerId":"J1112","DisplayName":"Total Petroleum Incorporated","Names":"","Aliases":"J1112","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EVYCN","PrimaryPayerId":"68251","DisplayName":"Total Scholastic Solutions","Names":"Global Benefits Group|TSS","Aliases":"6078|68251|9235","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.totalscholasticsolutions.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VHDLV","PrimaryPayerId":"12268","DisplayName":"Total Senior Care","Names":"Total Senior Care PACE|Total Senior Care Program of All-Inclusive Care for the Elderly","Aliases":"12268|3037|8288|R3474","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"FL","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.totalseniorcare.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NRVEN","PrimaryPayerId":"TPS01","DisplayName":"TouchPoint Solutions TouchPoint Customer Relationship Management","Names":"Touchpoint Solutions Touchpoint CRM","Aliases":"TPS01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"POZGS","PrimaryPayerId":"23856","DisplayName":"Touchstone Health PSO","Names":"Touchstone Health Professional Service Organization","Aliases":"23856","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ENATJ","PrimaryPayerId":"J1604","DisplayName":"Tower Energy Group","Names":"","Aliases":"J1604","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GYABI","PrimaryPayerId":"J1668","DisplayName":"Town of Colma (California)","Names":"","Aliases":"J1668","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QGPWQ","PrimaryPayerId":"T1010","DisplayName":"TPN Health","Names":"","Aliases":"T1010","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FZRTC","PrimaryPayerId":"91078","DisplayName":"TPSC Benefits","Names":"Trusteed Plan Services Corporation","Aliases":"2238|2941|91078","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.tpscbenefits.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QGHDH","PrimaryPayerId":"37230","DisplayName":"TR Paul Inc.","Names":"","Aliases":"3242|37230|3954","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.trpaul.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VPYEA","PrimaryPayerId":"J1505","DisplayName":"Tractor Supply Company","Names":"","Aliases":"J1505","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WHBHA","PrimaryPayerId":"89246","DisplayName":"TrailWest Bank (UCS Bank)","Names":"TrailWest Bank (United Community Systems Basic)","Aliases":"89246","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KJADW","PrimaryPayerId":"11037","DisplayName":"TransactRX","Names":" POC Network Technologies","Aliases":"11037|11168|7241|PARTD|TNSAT","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.transactrx.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZGEJH","PrimaryPayerId":"RX001","DisplayName":"TransactRX Infusion and Specialty","Names":"","Aliases":"7262|RX001","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.transactrx.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CDSFH","PrimaryPayerId":"TFLIC","DisplayName":"Transamerica Financial Life Insurance Company - Long Term Care","Names":"","Aliases":"TFLIC|TRNAF","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.transamerica.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GKCTK","PrimaryPayerId":"TLINS","DisplayName":"TransAmerica Life Insurance (Little Rock, AR)","Names":"TransAmerica Life Insurance (Little Rock, AR)","Aliases":"4686|TLINS|TNALF","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.transamerica.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SVGZA","PrimaryPayerId":"TRP1E","DisplayName":"TransAmerica Life Insurance Company","Names":"Monumental Life Insurance Company","Aliases":"1014|10946|11094|59222|7837|FZYAC|MMLIC|TRP1E|VOSGY","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"NATIONAL","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.transamerica.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VOZFA","PrimaryPayerId":"TABBS","DisplayName":"Transplant Associates Baylor Billing (Synergen)","Names":"","Aliases":"TABBS","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QBEBU","PrimaryPayerId":"TRAN1","DisplayName":"Transwestern Insurance Administrators Incorporated","Names":"TWIA","Aliases":"8141|TRAN1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.trans-western.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PJDWK","PrimaryPayerId":"19046","DisplayName":"Travelers","Names":"The Travelers Companies, Inc.|Travelers Casualty Insurance Company Of America","Aliases":"19046","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.travelers.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DPHAY","PrimaryPayerId":"C1032","DisplayName":"Travelers Auto","Names":"People First|The Travelers Indemnity Company","Aliases":"11022|C1032|Z96294","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"DE","Programs":"AUTOMOBILE_MEDICAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.travelers.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DKPJV","PrimaryPayerId":"DKPJV","DisplayName":"Travelers – Workers Compensation","Names":"Travelers (WC)","Aliases":"DKPJV","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EJMBC","PrimaryPayerId":"32396","DisplayName":"Tres Health","Names":"","Aliases":"1789|2673|32396","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.tres.health","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VROYT","PrimaryPayerId":"J1905","DisplayName":"Tri-City Healthcare District","Names":"","Aliases":"J1905","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QAHBS","PrimaryPayerId":"QAHBS","DisplayName":"Triad Group, LLC – Workers Compensation","Names":"Triad Group, LLC","Aliases":"QAHBS","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XUHBY","PrimaryPayerId":"39181","DisplayName":"Triad Healthcare","Names":"EviCore","Aliases":"39181","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.evicore.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FRCBY","PrimaryPayerId":"CB733","DisplayName":"Triada Assurance","Names":"","Aliases":"CB733","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FMEWP","PrimaryPayerId":"32691","DisplayName":"Tribado","Names":"","Aliases":"32691|7036|9420","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FJEIW","PrimaryPayerId":"61184","DisplayName":"Tribute Health Plans","Names":"Arkansas Superior Select|Tribute Medicare","Aliases":"1065|14467|61184|7893","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"AR","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://tributemedicare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GHCMX","PrimaryPayerId":"TRICE","DisplayName":"TRICARE Civilian Health and Medical Program of the Uniformed Services","Names":"Tricare (CHAMPUS)","Aliases":"TRICE","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZULMH","PrimaryPayerId":"CX002","DisplayName":"Tricare Dental Plan (United Concordia Companies)","Names":"Tricare Dental Plan (United Concordia Companies, Inc.)","Aliases":"CX002|Z96273","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IYHIG","PrimaryPayerId":"99727","DisplayName":"TRICARE East","Names":"Humana Military|TRICARE East Region|Tricare East|Tricare North|Tricare South","Aliases":"11218|1253|2872|5979|68299|99727|TREST|TRICRE","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"ONE_CLICK","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"ONE_CLICK","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"AL|AR|CT|DE|FL|GA|IL|IN|IA|KY|LA|ME|MD|MA|MI|MS|MO|NH|NJ|NY|NC|OH|OK|PA|RI|SC|TN|TX|VT|VA|WV|WI|DC","Programs":"TRICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.humanamilitary.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EPIVM","PrimaryPayerId":"TDFIC","DisplayName":"TRICARE for Life","Names":"TDEFIC|TRICARE Dual Eligible Fiscal Intermediary Contract","Aliases":"101159|10879|12X43|4749|5913|TDDIR|TDDIRMA|TDFIC|TDIFC|TRCRU|TRLIF","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"TRICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://tricare4u.com/en/portal/welcome","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZTVCZ","PrimaryPayerId":"10947","DisplayName":"TRICARE Overseas","Names":"","Aliases":"10947|1238|12X46|6565|FOREN|SX163|TRICF","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"TRICARE","PtanRequired":"true","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://tricare-overseas.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PESTA","PrimaryPayerId":"CDCA1","DisplayName":"Tricare Retiree Dental","Names":"Delta Dental Federal Employees Dental Program","Aliases":"CDCA1|DDPFS","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"NATIONAL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www1.deltadentalins.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TJPRF","PrimaryPayerId":"99726","DisplayName":"TRICARE West Region","Names":"PGBA|TriWest Region 4 CCN|Tricare West|Triwest Tricare","Aliases":"10189|12C01|5648|6286|99726|SCWI0|TRICAR|TRICW|TRICWMA|TWEST","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"ONE_CLICK","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"ONE_CLICK","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"57-1132733","CoverageTypes":"dental|medical|vision","OperatingStates":"AK|AZ|AR|CA|CO|HI|ID|IL|IN|IA|KS|LA|MN|MO|MT|NE|NV|NM|ND|OK|OR|SD|TX|UT|WA|WI|WY","Programs":"TRICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://tricare.triwest.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NBRGD","PrimaryPayerId":"56089","DisplayName":"Trillium Health Resources","Names":"CoastalCare|East Carolina Behavioral Health|Trillium Health Resources - Behavioral Health","Aliases":"43071|56089|5658|6284","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.trilliumhealthresources.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NTVTA","PrimaryPayerId":"J1674","DisplayName":"Trillium Staffing Solutions","Names":"","Aliases":"J1674","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PGWZV","PrimaryPayerId":"43072","DisplayName":"Trillium Tailored Health Plan","Names":"","Aliases":"2257|2504|43072","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QIDTA","PrimaryPayerId":"62777","DisplayName":"Trilogy Health Solutions","Names":"Trilogy Health Network|Trilogy Health Solutions Incorporated","Aliases":"3624|5835|62777","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"WI","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.trilogycares.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YKHRB","PrimaryPayerId":"95655","DisplayName":"Trinity Health Plan","Names":"MediGold|Medigold Health Plans|Mount Carmel Health Plan|Mount Carmel MediGold|Trinity Health Plan of Michigan","Aliases":"00420|13123|1584|4714|95655|MEDGL|MEDGLD|MEDIGOLD","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"ID|IA|MI|NY|OH","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"GTRSH","ParentPayerGroupName":"Che Trinity Inc. Group","WebsiteUrl":"https://www.thpmedicare.org","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VMJBW","PrimaryPayerId":"BCPRC","DisplayName":"Triple-S Salud (Commercial and Medicaid)","Names":"Blue Cross Blue Shield Puerto Rico|BlueCross BlueShield of Puerto Rico|Triple-S Salud (Commercial and Medicaid) - Medicare Advantage","Aliases":"10953|12B48|2756|3543|660650587|973|97300|BCPRC|CBPR1|PRBLS|SB980|Z0065","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"PR","Programs":"COMMERCIAL|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"INGJR","ParentPayerGroupName":"Blue Cross Blue Shield of Florida","WebsiteUrl":"https://salud.grupotriples.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FMGTK","PrimaryPayerId":"973MA","DisplayName":"Triple-S Salud (Medicare Advantage)","Names":"BCBS Puerto Rico - Medicare Advantage|Blue Cross United States Virgin Islands|Blue Cross and Blue Shield of Puerto Rico|Triple-S Advantage|Triple-S Management Corporation","Aliases":"13289|6831|7611|965|973MA|PRADV|PRSSA|SB965|VIBLS|XACKU","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"PR","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"INGJR","ParentPayerGroupName":"Blue Cross Blue Shield of Florida","WebsiteUrl":"https://salud.grupotriples.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SPACP","PrimaryPayerId":"42137","DisplayName":"TRISTAR Benefit Administrators","Names":"Select Benefit Administrators|Select Benefit Administrators (Des Moines Iowa)|TRISTAR Insurance Group","Aliases":"1890|2536|42137","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.tristargroup.net","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BKOLA","PrimaryPayerId":"41556","DisplayName":"TRISTAR Insurance Group","Names":"21st Century Insurance|22125 Roscoe Corporation|AAA North California Nevada and Utah Insurance Exchange|ABC Construction Company|ACE Property and Casualty Insurance Company|AG Facilities Operations LLC|ANAIC Cibus|Agri Beef Company|Alta HealthCare|American Furniture Warehouse|American Liberty Insurance Company|Anaco|Antelope Valley RET|Arizona and 21st Corporation doing business as Berkley East Convalescent Hospital|Avir Incorporated|Baker Tanks Incorporated|Basic Resources Incorporated|Beeville Independent School District|Berkley Valley Convalescent Hospital|Bernardo Heights Country Club|Beverly Hills Carmel|Bighorn Construction|Bobrick Washroom|Boulder Community Hospital|Bremco Construction|Brownsville Independent School District|Burton Way Carmel|Bycor General Contract|CPS Security Solutions|Cadet Uniform Supply|California Water Service Company|Callahan McCune|Campbell Union School District|Caps Sig|Catholic Diocese of San Diego|Catholic Mutual Preferred Professional Insurance Company|Catholic Mutual Virginia Surety Company Incorporated|Cedars-Sinai Health System|Chandler SP Verdes|Chapman Convalescent|Children's Hospital Colorado|Children's Hospital of Orange County First Aid|Chula Vista Elementary School District|City of Ashland|City of Beaverton|City of Belmont (Self Insured)|City of Campbell|City of Carlsbad|City of Carmel-by-the-Sea|City of Carson|City of Chula Vista|City of Colton|City of Coronado|City of Del Mar|City of Edinburg, Texas|City of Encinitas|City of Escondido|City of Grand Junction|City of Hillsboro|City of Imperial Beach|City of Imperial Beach (Voucher)|City of Irving|City of Lemon Grove|City of Los Altos|City of Merced|City of National City|City of Oceanside|City of Ontario|City of Richardson|City of Santee|City of Solana Beach|City of South San Francisco|City of Vista|City of Waco|City of Yuma|Civil Constructors|Coast Converters|Collin County|Colorado Contractors Program|Colorado Grande Casino|Colorado Healthcare Association Safety National Casualty Corporation|Colorado Prime Corporation|Columbine Health Systems|Cook and Solis Construction|Country Villa Health Services Skilled Nursing Care Center|Country Villa Oxnard Health|County of Alameda American International Group|County of Marin|Courtyard Health Center|Cox Construction Company|DaimlerChrysler Corporation|Dallas County Community College District|Davis Mechanical Systems|Daylight Transport|Denver Public Schools|Desert Hospital District|Desert Princess|Diamond Farming Company|Douglas County|Durango Coffee Company|ELC Electric Incorporated|Eagle Pass Independent School District|Echo Pacific Development|Edinburg Consolidated Independent School District|Elite Comprehensive|Envision Radiology LLC|Eplica Incorporated|Erickson-Hall Construction|F&G Guaranty Insurance Company Main Street Program Colorado|Family Health and Housing|Federated Linen and Uniform|Franco Construction|Fresno County Office of Education|Fresno County Self Insurance Group|GS Metals|Garden Regional Hospital and Medical Center Incorporated|Gates O Doherty|Gates O Doherty G and G|Gateway Trans Incorporated|Genesis Construction|Glendale Elementary School District 40|Greene Rad Maloney|Greer Construction Company|Greif Brothers Corporation|Greve Clifford Wengel and Paras|Grimmway Enterprises Incorporated|Grundfos Manufacturing Corporation|Hartford Dealership Advantage Program Workers' Compensation|Hastings College of the Law|Hayhoe Construction|Heartland Employment Services LLC|Highland Golf|Hogan Motor Leasing|Hogan Personnel|Home Sweet Home|Imperial Irrigation District|Inconen Corporation|Inland Valley Hospice|J D Mechanical|J H McCormack Construction|Jefferson County Texas|John Muir Health|Judson Independent School District|KTA Construction (COSD2)|Kautz Vineyards|King Pak Potato Company LLC|King Ranch|LB Auto Pacific Parts|LB Auto Pacific Supply|Laclede Chain|Laclede Steel|Lake Arrowhead Country Club|Lake Elsinore School District|Lamar Consolidated Independent School District|Lamesa Independent School District|Landmark Golf Course|Landmark Grading and Paving|Lane County|Larimer County Workers' Compensation|Lekos Electric|Levin Enterprises Incorporated|Livingston Independent School District|Lodi Memorial Hospital|MDSI Physicians Group Incorporated|Madera Community Hospital|Manufacturers Alliance Insurance Company|Marcotte and Hearne|Maricopa County Community College District|Mariposa County|Matagorda County|Medical Benefit Administration|Memorial Health Services|Meridian Construction Program|Meritage Corporation|Mesa County Colorado|Mesa County Valley School District 51|Mexicana Airlines|Michael Hogan Association|Mission Aviation Fellowship|Mission Lodge Sanitarium|Missoula Cart Company|Modesto Irrigation District|Motion Picture and Television Fund|National Jewish Health|North Clackamas School District 12|North Colorado School Districts Workers' Compensation Pool|North County Transit District|Nova Dealership Advantage Program|Nova Elite Compensation Program|Nova Metals Advantage Plus Program|Nuevo Engineering|Outrigger Lodging|Overhill Farms Incorporated|Pacific Hydrotech Corporation|Pacific Lumber Company (Marathon)|Pacific Specialty Insurance|Pajaro Valley Community Health Trust|Palo Alto Medical Foundation|Pas Coffee Roasters|Patterson Brothers Lighting|Pennsylvania Manufacturers Association Insurance Company|Pennsylvania Manufacturers Indemnity Company|Petaluma Valley Hospital|Pflugerville Independent School District|Pima County|Plainview Independent School District|Plott Healthcare|Poly-America|Ponderosa Landscape|Prudential Overall Supply|Quality Care Convalescent|Quality Health Medical Group|Queen of Angels Hollywood|RCH Protective SNCC|Rehab Center of Beverly Hills|Restoration Professionals|Rick Concrete Construction|Robstown Independent School District|Rockwall Independent School District|Rose Garden Guest House|Rosewood Equipment|Rossi Concrete Incorporated|Rural Special District Insurance Program|SKB Corporation|Salt Lake City Corporation|Sam Kane Beef Processors Incorporated|San Diego Hospice and Institute for Palliative Medicine|San Diego Metropolitan Transit System|San Diego Metropolitan Transit System (SCHIP Liability)|San Diego Transit Corporation|San Diego Trolley Incorporated|San Joaquin County|Santa Clara County Office of Education|Schneider Gain|Seeno Construction (Chartis)|Seeno Homes|Sela Healthcare|Selman Breitman|Sharyland Independent School District|Sierra Nevada Memorial|Silberberger Engineering|Sonoma Valley Health|Sonoma Valley Healthcare District|Southwest Gas Corporation|Specialty Coffee|Spooners Woodworks|St. Rose Hospital|Standard Fruit and Vegetable|Stimson Lumber Company Montana Oregon Washington|Stonington Country Club|Sunrise Country Club|Superior Access Insurance Services|Superior Industries International Incorporated|Superior Ready Mix|TD Tile|Tan Medical Group|Thomas Staffing Services Incorporated Venturi Staffing|Topanga Roscoe Corporation|Tri-City Healthcare District|Tri-City Linen Supply|Tri-City Uniform|Tucson Unified School District Workers' Compensation|US Mobile Wireless|United Convalescent|University of Colorado|V and M Restoration|Valenzuela Engineering Incorporated|Valley Casework Incorporated|Valley Harvesting and Packing Incorporated|Valley Health System|Valley Healthcare Management Services LLC|Valley Memorial Hospital|Venture Pacific Development|Vertical Concrete|Victoria Independent School District|Vista Hills Country Club|Washington County|Washington Hospital|Watkins Manufacturing Corporation|WattsHealth Foundation Incorporated (SNCC)|Wawona Packing|Weslaco Independent School District|West Coast Hospitals Incorporated|West County Radiology Center|West Oso Independent School District|West Texas Rural Counties Association Preferred Risk Pool Workers' Compensation|WestAmerica Phil Long Dealerships|Willamette View|Wilmer Hutchins Independent School District Dallas Independent School District|Woodland Park West|YMCA","Aliases":"14367|3203|41556|51028|8097|87158|ZP6123","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"PA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.tristargroup.net","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MKJQU","PrimaryPayerId":"J1491","DisplayName":"TRISTAR Insurance Group","Names":"137654 California Incorporated|4DS Limited Partnership Doing Business As Georgian Hotel|A J Edmund Company Incorporated|A W S Construction|Accord Human Resources California|Accord Human Resources Oklahoma|Accurate Air Systems|Acme Truck Parts|Advance Paper Box Company|Advanced Engine Management Incorporated|Advanced Real Estate Services|Aerospace Service and Controls|Alpha Property Management Incorporated|American Tile and Brick Veneer|American Tow and Auto Repair Doing Business As|Angelo Brothers Company California|Apperson Print Management|Arcadian Development Incorporated|Arden Cleeland Doing Business As Avril Agency|Arroyo Parkway 76 and Atwater 76|Artex Manufacturing Company|Audio Digest Foundation and|Auto Marine Engineering Incorporated|Auto Outlet Incorporated|B. B. King's Blues Club and Restaurant|BAS Recycling Incorporated|BEC Enterprises Incorporated|Bank Plus Corporation|Batla Food Group Incorporated|Beacon Bay Enterprises Incorporated|Bell Trucking Company Incorporated|Bemus Landscape Incorporated|Berry's Sawmill|Better Care Incorporated|Board Ford Incorporated|Bowsmith Incorporated|Brake Parts Supply and Distribution|Brintnall's Incorporated|Brion Corporation|Builders Supply Palm Springs|Burlingame Country Club|Burrows Incorporated|C P P Incorporated|C TAP Incorporated|CLW Pacific Incorporated|CPE Professional Employer Organization Incorporated Doing Business As California|CTL Environmental Services|Cacique Incorporated|California Chamber of Commerce|California Hawaii Tech Floors Incorporated|California Linen Rental Company|California Only Bancroft NeuroHealth|Carriage Motors Incorporated|Castle Group California Incorporated|Catania Hijar Corporation|Century Lighting Incorporated|Certified Undercar Parts Incorporated|Check Into Cash California|Chino Auto Parts (A Corporation)|Christian Brothers High School|Clausen Enterprises Incorporated|Clean Steel Incorporated|Cleugh's Rhubarb Ranch Incorporated|Comfort Systems USA|Commonwealth Energy Corporation|Community Options|Connex TCT LLC|Continental Maintenance Industries|County Motor Parts Company Incorporated|Craftsman Office Furniture Incorporated|Creative Benefits Incorporated|DEW Management Services Incorporated|Dan's Landscape Services Incorporated|Dantel Incorporated|Demko William M (An Individual)|Denfran Systems Incorporated|Desert Valley Medical Group|Designs by Mark|Diablo Hills Golf Association|Diamond W Floor Covering Incorporated|Dinuba Lumber Company (A Corporation)|Dufour Incorporated|Dupree Incorporated|Dy-Dee Services Pasadena Incorporated|E. B. Manning and Son Incorporated|E. H. Summit Incorporated|EMCO Fluid Systems Incorporated|EMPI Incorporated|Ecology Auto Wrecking|El Macero Country Club|Electrical Rebuilders Sales Incorporated|Elite Leather Company|Emergency Physicians Medical Group|Engen Enterprises Incorporated|Equity Hotel and Supply Company|Ernest Paper Products Incorporated|Ezell Nursery Supply Incorporated|Facility Masters Incorporated (A Corporation)|Family Toyota Family Honda|Fast Undercar Thousand Oaks|Feather River Wood and Glass|Felix Manufacturing Company|Ferrari Dan (An Individual)|Forecast Group L.P.|Freeman Raymond K|Friant and Associates LLC|Fuller Theological Seminary|G L Veneer Company Incorporated|Garrison Mike (An Individual)|Gateway Learning Corporation|Glendale Associates Ltd.|Glendale Food Services Incorporated|Gomez Jose Luna|Grass Valley Ford Lincoln Maine|Greater San Diego Air Conditioning|Griffin Produce Incorporated|H J Company|H L Heggstad Incorporated|H P Development Incorporated|H P Envirovision Incorporated|H R N Services Incorporated|Hagen Renaker Incorporated|Haight Brown and Bonesteel|Haralambos Beverage Company|Harbob South Incorporated|Hawthorne Financial Corporation|Healthcare Management Systems|Higgins Brick Company|Homexx International Corporation|Hospital Housekeeping Systems|Houck Gregory (Partner) Winn|Houston Steak Delivery 1 LLC|Hughes Redwood Company Incorporated|Hydroform USA Incorporated|IOM Holdings Incorporated (A Corporation)|Ideal Auto Parts Incorporated|Imperial Valley Lumber Company|Innovations Successful Salon S|International Bay Clubs Incorporated|Inventory Control System|J C Wattenbarger and Sons Incorporated|J T Contractors Incorporated|JCV Tacos Incorporated|Janico Building Maintenance Company|Jerry Solomon Enterprises Incorporated|Johnson Larry (An Individual)|Keiser (A Corporation)|Kordye Turner and Company Incorporated|Krieger Bertie (An Individual)|Kurt Bohmer Plumbing Incorporated|Kurtz Finan Auto Supply Incorporated|Kustom Fit Manufacturing Company|Laticrete International Incorporated|Ledtronics Incorporated|Leisure World Union 76 Incorporated|Lights of America Incorporated|Lodging Development and Management|Los Altos Golf and Country Club|Lundeen Pacific Corporation|MRH Enterprises|Madison Research Corporation|Maintenance Pacesetters Incorporated|Mallis Associates Incorporated|Maniglia Landscape Incorporated|Marfield Company Incorporated|Marin Radiology Group|Markrist Engineers|Maxsys Technologies Corporation|McGee Electric Incorporated|Meyling Albert|Michael McElroy|Mission Corps International Incorporated|Mission Organics|Moffatt Contracting Incorporated|Monarch Plumbing Company Incorporated|Moreno Valley Pontiac|Mothers Nutritional Center|Natel Engineering Company Incorporated|National Imaging Associates Healthcare (NIA)|National Maintenance Incorporated|Nelson Nameplate Company|New Century Auto Group|Nickolas Environmental|North American Video Corporation|Numero Uno Market Incorporated|OSI Systems Incorporated|Oakwood Interiors Incorporated|One Stop Brake Supply Santa Ana|One Stop Undercar Riverside|Ontario Metal Recycling Incorporated|Onyx Acceptance Corporation|Original Sid Blackman Plumbing|PDQ Automatic Transmission Parts|PJ Cal 1, Incorporated|Pacific Data Electric, Incorporated|Pallet Depot|Palo Alto Hills Golf and Country Club|Park Management Group, Incorporated|Pastabravo Restaurants, Incorporated|Peninsula Pontiac GMC Buick|Petro Chem Industries, Incorporated|Poly Pak America, Incorporated|Pomeroy Investments, Incorporated|Pool Water Products|Popular Textile Corporation|Porteous Fastener Company|Preston Holmes, Incorporated|Prompt Food Services, Incorporated|Pure Fill Corporation|QAD, Incorporated|Quick Croft, Incorporated|R Kids Tire and Services, Incorporated|R. A. Phillips Industries, Incorporated|Rabb Brothers Trucking, Incorporated|Ramona Manor Convalescent Hospital|Raypak, Incorporated|Rednab, Incorporated|Reeser Enterprises, Incorporated|Reliable Services, Incorporated|Reliance Building Services, Incorporated|Rick Hitch Plastering|Risk Enterprise Management|Robert Mann Packaging, Incorporated|Rothenberger USA, Incorporated|Rountree Plumbing and Heating, Incorporated|SOS Metals, Incorporated|Sacramento IBS, Incorporated|San Francisco Battery, Incorporated|Santa Fe Extruders, Incorporated|Satellite Dialysis Centers, Incorporated|Serendipity Land Yachts|Sheppard Mullin Richter and Hampton|Site Studios, Incorporated|Small World Toys|Smith Emery Company|Smithcare, Incorporated|Sol's Brake Supply, LLC|Specialty Team Plastering, Incorporated|Spring Air California Deluxe Bedding|Stanley Pest Control, Incorporated|Striko Dynarad Corporation|Styles for Less Corporation (California Only)|Surface Mount Distribution|Surface Protection Industries|Talbert Medical Group|Target Media Partners|Tempo Industries, Incorporated|The Garlic Company|Tim's Auto Paint and Supply, Incorporated|Tom's Truck Center, Incorporated|Tomco Auto Products, Incorporated|Tomdan Enterprises|Total Plumbing Heating and Air|Trans Valley Transport|Transpacific Development Company|Tri Valley Orthopedic and Sports Medicine|True World Foods, Incorporated|U.S. Wireless Corporation|United El Segundo, Incorporated|United Surgical Partners International|Universal Flooring Systems|VIP Motor Cars, Ltd.|Valhalla Builders and Developers|Valley Fig Growers, Incorporated|Veg Land, Incorporated|Vegetable Growers Supply, Incorporated|Verco Manufacturing, Incorporated|Vicro Mac|Victoria Tire Center, Incorporated|Villa Marina Unocal, Incorporated|W. E. Behel, Incorporated|W. T. Billard, Incorporated|WCP, Incorporated|Walter Anderson Plumbing, Incorporated|Wessex Industries, Incorporated|Western Golf Properties, Incorporated|Widdicombe Enterprises, Incorporated|Wilson and Hampton Painting Contractors|Women's Healthcare Associates|Woodmont Real Estate Services","Aliases":"J1491","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.tristargroup.net","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XCDGX","PrimaryPayerId":"LS512","DisplayName":"TRISTAR Insurance Group","Names":"TRISTAR Risk Management","Aliases":"00072|LS512","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.tristargroup.net","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XPYCX","PrimaryPayerId":"31144","DisplayName":"TriState Benefit Solutions (TriHealth Physician Solutions)","Names":"","Aliases":"31144|3610|5150","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.trihealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DBSKN","PrimaryPayerId":"ZP6000","DisplayName":"Triton Healthcare Partners","Names":"Triton Partners","Aliases":"ZP6000","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://tritonhealthcare.net","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JNRYG","PrimaryPayerId":"TVMG1","DisplayName":"TriValley Medical Group","Names":"TVMG|Tri-Valley Medical Group","Aliases":"20538|7807|8582|TVMG1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.trivalleymedicalgroup.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XODKZ","PrimaryPayerId":"TRYMC","DisplayName":"Troy Medicare","Names":"","Aliases":"2812|7953|80840|TRYMC","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NC","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.troymedicare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IUXEN","PrimaryPayerId":"83413","DisplayName":"Tru Blue TPA","Names":"Tru Blue Third Party Administrator|United Advantage Agency|United States Managing General Underwriters","Aliases":"83413","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://nationwideselffunded.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NJLTQ","PrimaryPayerId":"TRUCO","DisplayName":"Tru Community Care","Names":"","Aliases":"3406|8928|TRUCO","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CO","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.trucare.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BJUBD","PrimaryPayerId":"MSMCDCS1","DisplayName":"TrueCare Mississippi Medicaid","Names":"TrueCare CHIP|TrueCare MSCAN|TrueCare MississippiCAN","Aliases":"16605|3488|9014|MSCS1|MSMCD|MSMCDCS1|MSTRC|RP103","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"MS","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"XDBLI","ParentPayerGroupName":"CareSource Group","WebsiteUrl":"https://www.mstruecare.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JYNJM","PrimaryPayerId":"TRULI","DisplayName":"Truli for Health","Names":"BeHealthy Florida","Aliases":"4098|8841|TRULI","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"59-2015694","CoverageTypes":"dental|medical","OperatingStates":"FL","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.truliforhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XWNAC","PrimaryPayerId":"TRUST","DisplayName":"Trust Eligibility Network","Names":"Cost Plus Wellness|MCC Health","Aliases":"CPWELL|CUBAN|TRUST","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FRAUA","PrimaryPayerId":"10909","DisplayName":"TruStage","Names":"CMFG Life Insurance|CUNA Mutual Group","Aliases":"10909","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.trustage.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AXLJS","PrimaryPayerId":"61425","DisplayName":"Trustmark","Names":"Trustmark Insurance Company|Trustmark Mutual Holding Company|Trustmark Small Business Benefits","Aliases":"00044|10190|4541|61425|6401|TRSMRK","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"FWJND","ParentPayerGroupName":"Trustmark Mutual Holding Company Group","WebsiteUrl":"https://trustmarkbenefits.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KXFMO","PrimaryPayerId":"THA01","DisplayName":"Tuality Health Alliance","Names":"OHSU Health","Aliases":"THA01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"OR","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ohsu.edu","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DRBOX","PrimaryPayerId":"THASC","DisplayName":"Tuality Health Select","Names":"OHSU Health","Aliases":"THASC","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"OR","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ohsu.edu","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GLOJR","PrimaryPayerId":"15069","DisplayName":"Tucker Administrators","Names":"","Aliases":"00128|15069|8952|9251","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://tuckeradministrators.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UYOCO","PrimaryPayerId":"TUFTS","DisplayName":"Tufts Health Plan","Names":"Point32Health","Aliases":"00114|04298|04298MA|10379|170558746|2438|8504|TUFTS","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"ME|MA|NH|RI|VT","Programs":"","PtanRequired":"false","ParentPayerGroupId":"CNSWD","ParentPayerGroupName":"Harvard Pilgrim Health Care","WebsiteUrl":"https://tuftshealthplan.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XDJEP","PrimaryPayerId":"04332","DisplayName":"Tufts Health Plan","Names":"Network Health|Point32Health","Aliases":"04332|2523|5475","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://tuftshealthplan.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZMNPF","PrimaryPayerId":"J1732","DisplayName":"Tyson Foods Incorporated","Names":"","Aliases":"J1732","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DSRGW","PrimaryPayerId":"77044","DisplayName":"U.S. Department of Labor","Names":"DFEC|Division of Federal Employees' Compensation|US Department of Labor","Aliases":"77044|WP540","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NATIONAL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://owcpmed.dol.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VLILB","PrimaryPayerId":"J1115","DisplayName":"U.S. National Resources (AIG Risk Management)","Names":"US National Resources (AIG Risk Management)","Aliases":"J1115","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FGEPR","PrimaryPayerId":"USN01","DisplayName":"U.S. Networks and Administrative Services","Names":"United HealthCare Services, Inc.|United Healthcare Global","Aliases":"4035|8763|USN01","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"FIVMG","ParentPayerGroupName":"UnitedHealth Group","WebsiteUrl":"https://provider-usn.optum.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YGZVG","PrimaryPayerId":"J1950","DisplayName":"U.S. Sugar Corporation","Names":"","Aliases":"J1950","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QXSCY","PrimaryPayerId":"55413","DisplayName":"UCare Minnesota","Names":"UCARE Individual and Family Plan|UCARE of Minnesota","Aliases":"10352|1038|4496|52629|55413|55413MA|7867|MNUCAR|SX178|UCARE","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"MN","Programs":"COMMERCIAL|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"LKUKE","ParentPayerGroupName":"UCare Group","WebsiteUrl":"https://www.ucare.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XZXNB","PrimaryPayerId":"UCI01","DisplayName":"UCI Health","Names":"","Aliases":"7095|9707|UCI01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TCYCH","PrimaryPayerId":"28189","DisplayName":"UCLA Health Medicare Advantage Plan","Names":"UCLA Medicare Advantage Plan","Aliases":"15548|28189|3734|9037","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.uclahealthmedicareadvantage.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WVIZE","PrimaryPayerId":"USMBP","DisplayName":"UCLA Medical Group","Names":"University of California, Los Angeles Medical Group","Aliases":"7266|8680|USMBP","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.uclahealth.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QWGQU","PrimaryPayerId":"31650","DisplayName":"UCS (Wagner Meinert)","Names":"United Claim Solutions|Valenz Health|Wagner Meinert","Aliases":"31650|6668|6771","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.valenzhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SICZX","PrimaryPayerId":"19434","DisplayName":"UCS Basi Golden Eagle Construction","Names":"UCS Basic Golden Eagle Construction","Aliases":"19434","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CO","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.boulderadmin.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TQJEQ","PrimaryPayerId":"75537","DisplayName":"UCS Benovation","Names":"CAI Insurance Agency|UCS Beneficial Innovation|United Claim Solutions|Vālenz","Aliases":"75537","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cai-insurance.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RVCMJ","PrimaryPayerId":"63985","DisplayName":"UCS CAM Administrative Services, Inc","Names":"","Aliases":"3033|63985|8284","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GNHXO","PrimaryPayerId":"59573","DisplayName":"UCS Hockenbergs Equipment","Names":"TriMark Hockenbergs|United Clinical Services Hockenbergs Equipment","Aliases":"59573","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ELDWK","PrimaryPayerId":"60230","DisplayName":"UCS Masonry Industry Trust","Names":"MITA|Masonry Industry Trust Administration|United Contractors and Staff Masonry Industry Trust","Aliases":"00063|60230|7711|9652","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"OR","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://masonry-trusts.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PGAXZ","PrimaryPayerId":"52323","DisplayName":"UCS Nebraska Plastics Group","Names":"","Aliases":"52323","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OHZVL","PrimaryPayerId":"97736","DisplayName":"UCS RTG Medical Group","Names":"United Claim Solutions|Vālenz Health","Aliases":"97736","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.valenzhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QMFTS","PrimaryPayerId":"20452","DisplayName":"UCS Winston Hospitality","Names":"","Aliases":"20452","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HJXGW","PrimaryPayerId":"UCSDH","DisplayName":"UCSD Managed Care","Names":"","Aliases":"UCSDH","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JGQAW","PrimaryPayerId":"99026","DisplayName":"UHA Health Insurance","Names":"University Health Alliance","Aliases":"14307|2910|3210|99026|990263440|UHA|ZP260","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"HI","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.uhahealth.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WQGDZ","PrimaryPayerId":"GP133","DisplayName":"UHC Dental Government Programs","Names":"Optum Specialty Services","Aliases":"GP133","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"FIVMG","ParentPayerGroupName":"UnitedHealth Group","WebsiteUrl":"https://www.uhcdental.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ORNXS","PrimaryPayerId":"UHP01","DisplayName":"UHP Management","Names":"","Aliases":"4099|8843|UHP01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GVWRA","PrimaryPayerId":"10945","DisplayName":"Ullico","Names":"The Ullico Family of Companies|The Union Labor Life Insurance Company Family of Companies","Aliases":"10945","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ullico.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LDCPG","PrimaryPayerId":"ULLIC","DisplayName":"Ullico Incorporated (Valley Forge","Names":"ULLICO Incorporated (Valley Forge Pennsylvania)","Aliases":"ULLIC","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ullico.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZKLWI","PrimaryPayerId":"77022","DisplayName":"Ultimate Health Plan","Names":"","Aliases":"6868|7646|77022|77022MA|ULTHP","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.chooseultimate.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VPZPD","PrimaryPayerId":"77503","DisplayName":"Umpqua Health","Names":"UHA|Umpqua Health Alliance","Aliases":"1291|6551|77501|77502|77503|77504|77505|CIM11|UHA_CCO","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"OR","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.umpquahealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UWTOI","PrimaryPayerId":"39026","DisplayName":"UMR","Names":"Benesight|Centra Healthcare|Co-Operative Benefit Services|Compass Rose Benefit Group|Fiserv Wausau|G.E.H.A|GEHA|UMR Wausau|United Medical Resources Wausau|UnitedHealthcare Shared Services - UHSS","Aliases":"10394|10501|11068|1579|2714|33108|39026|39026MA|44054|45235|4590|5402|6467|75196|95266|GEHA|GRDFK|ODKCD|PKJYP|UHIS|UMR01|UMRWAU|XGYCG|XXUMR","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"NATIONAL","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"FIVMG","ParentPayerGroupName":"UnitedHealth Group","WebsiteUrl":"https://www.umr.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MTGUL","PrimaryPayerId":"52180","DisplayName":"UMWA Health and Retirement Funds","Names":"UMHA H & R Funds|United Mine Workers of America Health and Retirement Funds","Aliases":"00319|11121|1758|2991|52180|52180MA|UMWA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"NATIONAL","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.umwafunds.org","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OSUYG","PrimaryPayerId":"TP108","DisplayName":"Underwriters Safety and Claims","Names":"","Aliases":"TP108","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZKAOI","PrimaryPayerId":"35198","DisplayName":"Unified Group Services","Names":"","Aliases":"35198|3838|4542","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.unifiedgrp.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KQMDH","PrimaryPayerId":"IHS12","DisplayName":"Unified Health Plan TPA","Names":"","Aliases":"8063|9780|IHS12","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://unifiedhealthplan.net","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UHSAC","PrimaryPayerId":"62170","DisplayName":"Unified Health Services","Names":"","Aliases":"5420|62170|7576","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.uhsweb.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DKXCB","PrimaryPayerId":"7062","DisplayName":"Unified Life Insurance","Names":"","Aliases":"7062|9445|RP064","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://unifiedlife.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MCGLZ","PrimaryPayerId":"UPN99","DisplayName":"Unified Physicians Network","Names":"","Aliases":"UPN99","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ENLMY","PrimaryPayerId":"21814","DisplayName":"UnifiHealth","Names":"Helm Health|Poppins Health","Aliases":"1683|1726|21814","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.helmhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GZVGX","PrimaryPayerId":"J4587","DisplayName":"UNIFY Health Services","Names":"UNIFY Health Services","Aliases":"J4587","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CTGRV","PrimaryPayerId":"25844","DisplayName":"Union Insurance Company of Providence","Names":"EMC Insurance Companies|Employers Mutual Casualty Company","Aliases":"25844","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.emcinsurance.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VNPJK","PrimaryPayerId":"83173","DisplayName":"Unite Health Share Ministries","Names":"UHSM|WeShare","Aliases":" ZP3292|3450|3857|83173|9001|9077|UHSM1|WESHR|ZP3292","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.uhsm.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NHCAC","PrimaryPayerId":"37114","DisplayName":"Unite Here Health","Names":"HereIU Welfare Pension Funds|Hotel Employees and Restaurant Employees International Union Welfare Pension Funds|UHH","Aliases":"2865|37114|8532|ZP1254","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.uhh.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HNKAE","PrimaryPayerId":"97615","DisplayName":"Unite Here Health Hospitality (UHH Hospitality)","Names":"Unite Here Health Hospitality","Aliases":"97615","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.uhh.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XHLKZ","PrimaryPayerId":"UAGBT","DisplayName":"United Agriculture Benefit Trust","Names":"UABT|UnitedAg","Aliases":"3281|UABT1|UAGBT","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.unitedag.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CRFSM","PrimaryPayerId":"92916","DisplayName":"United American Insurance Company","Names":"","Aliases":"10990|5084|55004|8179|92916|UNAMN|UNTDA|UNTDA1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"GA|NJ|NC|OK|SC|TN|WV|WY","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"HNSBU","ParentPayerGroupName":"Globe Life Incorporated Group","WebsiteUrl":"https://www2.unitedamerican.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZEGEX","PrimaryPayerId":"UFNEP","DisplayName":"United Americhoice Nebraska","Names":"United AmeriChoice Nebraska","Aliases":"6892|UFNEP","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"NE","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"FIVMG","ParentPayerGroupName":"UnitedHealth Group","WebsiteUrl":"https://www.uhcprovider.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZUPYK","PrimaryPayerId":"16295","DisplayName":"United Association of Plumbers & Pipefitters Local Union 295","Names":"Local 295","Aliases":"16295","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"FL","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://ualocal295.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LNQFC","PrimaryPayerId":"38260","DisplayName":"United Benefit Advisors","Names":"UBA|Women's Health Plan","Aliases":"2024|38260|8160","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.ubabenefits.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WHSMG","PrimaryPayerId":"ADCUC","DisplayName":"United Care Medical Group (UCMG) (Regal)","Names":"","Aliases":"6840|7618|ADCUC","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KSIOS","PrimaryPayerId":"20090","DisplayName":"United Claim Solutions","Names":"Vālenz Health","Aliases":"1288|20090|6546","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.valenzhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RMNPD","PrimaryPayerId":"56001","DisplayName":"United Community Services (The City of East Chicago)","Names":"Unified Comprehensive Services (The City of East Chicago)","Aliases":"1132|1504|56001","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LYHMJ","PrimaryPayerId":"CX013","DisplayName":"United Concordia - Dental Plus","Names":"Independence Blue Cross Dental Plan – Blueextrasm|United Concordia Companies Inc|United Concordia Federal Employees Program","Aliases":"10809|89070|CX013|UCCDP","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KUIPS","PrimaryPayerId":"CX007","DisplayName":"United Concordia Fee-for-Service","Names":"United Concordia Fee-For-Service","Aliases":"00864|10810|CX007|UCCTR","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.unitedconcordia.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FJBAM","PrimaryPayerId":"84365","DisplayName":"United Contract Services (Coeur Leonard Holding Company)","Names":"Coeur Plan Services|University Clinical Health Solutions (Coeur Leonard Holding Company)","Aliases":"2031|8167|84365","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://coeurplanservices.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MCASZ","PrimaryPayerId":"J1048","DisplayName":"United Dominion Realty Trust","Names":"","Aliases":"J1048","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DIFXJ","PrimaryPayerId":"J1789","DisplayName":"United Financial Casualty Company","Names":"","Aliases":"J1789","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HVSBN","PrimaryPayerId":"J1401","DisplayName":"United Fire","Names":"","Aliases":"J1401|WZ997","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IFWRC","PrimaryPayerId":"AE001","DisplayName":"United Food and Commercial Workers National Fund","Names":"UFCW National Fund","Aliases":"00095|AE001","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VZXAT","PrimaryPayerId":"UFC01","DisplayName":"United Food and Commercial Workers of Central Ohio","Names":"","Aliases":"UFC01","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DVGWZ","PrimaryPayerId":"SCUFW","DisplayName":"United Food and Commercial Workers Unions and Food Employers Benefit Fund","Names":"SCUFCW|Southern California UFCW Unions and Food Employers|Southern California United Food and Commercial Workers Unions and Food Employers|United Food and Commercial Workers Unions and Food Employers Benefits Fund","Aliases":"5296|SCUFW","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.scufcwfunds.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DEOKL","PrimaryPayerId":"86050","DisplayName":"United HealthCare Community Plan Missouri","Names":"United Healthcare Community Plan Missouri","Aliases":"11107|12242|1227|4527|86050|UHCMO","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"MO","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"FIVMG","ParentPayerGroupName":"UnitedHealth Group","WebsiteUrl":"https://www.uhcprovider.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FDWLU","PrimaryPayerId":"03432","DisplayName":"United HealthCare Community Plan of Arizona","Names":"Arizona Physicians IPA|Arizona Physicians IPA (UHC) Community Plan|Arizona Physicians Independent Practice Association|Children's Rehabilitative Services (CRS)|Long Term Care|United HealthCare Community Plan Arizona","Aliases":"03432|03432MA|10022|1585|3432|COLTC|HMYUQ|QFEBR|TLW68|TLX06","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"AZ","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"FIVMG","ParentPayerGroupName":"UnitedHealth Group","WebsiteUrl":"https://www.uhcprovider.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HSVNU","PrimaryPayerId":"88337","DisplayName":"United HealthCare Ohio Medicaid Managed Care Entity (MCE)","Names":"Medicaid Ohio - United Healthcare OH Medicaid","Aliases":"0007610|7074|83244|83572|88337|9465|OHMD3","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"OH","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"FIVMG","ParentPayerGroupName":"UnitedHealth Group","WebsiteUrl":"https://www.uhc.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LYJAI","PrimaryPayerId":"UHSEC","DisplayName":"United HealthCare SecureHorizons Medicare","Names":"United HealthCare Secure Horizons Medicare","Aliases":"UHSEC","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FLWSF","PrimaryPayerId":"84132","DisplayName":"United Medical Alliance","Names":"","Aliases":"84132","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LWIBC","PrimaryPayerId":"79480","DisplayName":"United Medical Resources (UMR Onalaska)","Names":"UMR (United Medical Resources Onalaska)","Aliases":"79480","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"FIVMG","ParentPayerGroupName":"UnitedHealth Group","WebsiteUrl":"https://www.uhcprovider.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SEKPN","PrimaryPayerId":"74223","DisplayName":"United Medical Resources - San Antonio","Names":"","Aliases":"74223","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZTVCT","PrimaryPayerId":"SANDS","DisplayName":"United Physicians International (UPI)","Names":"","Aliases":"SANDS","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://upihealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VUTCP","PrimaryPayerId":"J1851","DisplayName":"United Self-Insured Services","Names":"","Aliases":"J1851","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.usisinet.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FZFNZ","PrimaryPayerId":"J1113","DisplayName":"United States Cold Storage","Names":"","Aliases":"J1113","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ISAVK","PrimaryPayerId":"77103","DisplayName":"United States Department of Labor - Energy","Names":"DEEOIC|Division of Energy Employees Occupational Illness Compensation","Aliases":"77103","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NATIONAL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://owcpmed.dol.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JQMEC","PrimaryPayerId":"J1235","DisplayName":"United Wisconsin Insurance Company","Names":"","Aliases":"J1235","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JLDQL","PrimaryPayerId":"JLDQL","DisplayName":"United Wisconsin Insurance Company – Workers Compensation","Names":"United Wisconsin Insurance Company (WC)","Aliases":"JLDQL","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KMQTZ","PrimaryPayerId":"87726","DisplayName":"UnitedHealthcare","Names":" Neighborhood Health Partnership|AARP MedicareComplete insured through UnitedHealthcare|AARP MedicareComplete insured through UnitedHealthcare / Oxford Medicare Network|AARP MedicareComplete insured through UnitedHealthcare / Oxford Mosaic Network|AmeriChoice by UnitedHealthcare New York|Arnett Health Plans|Care Improvement Plus|Care Improvement Plus South Central Insurance Co.|Colorado Rocky Mountain Health Plans|Empire Plan (NYSHIP)|Evercare|Harvard Pilgrim Passport Connect|Medica Behavioral Health|Metropolitan Property and Casualty Insurance Company|Michael Reese|Neighborhood Health Partnership|Neighborhood Health Partnership (NHP)|Optum UnitedHealth Behavioral Solutions|OptumHealth Behavioral Solutions|Oxford Level Funded (CT, NJ, NY)|Pennsylvania Health Care Plan|People's Health Network|Peoples Health Choices (Preferred Provider Organization)|Peoples Health Choices 65 (Health Maintenance Organization - Point of Service) Southland|Peoples Health Choices 65 (Health Maintenance Organization-Point of Service) Greater New Orleans and Baton Rouge Area|Peoples Health Choices 65 (Health Maintenance Organization-Point of Service) Northshore|Peoples Health Choices 65 (Health Maintenance Organization-Point of Service) Rural Southeast|Peoples Health Choices Gold (Health Maintenance Organization - Point of Service)|Peoples Health Group Medicare (Health Maintenance Organization - Point of Service)|Peoples Health Group Medicare (Health Maintenance Organization - Point of Service) Office of Group Benefits|Peoples Health Medicare Advantage LA-0004 (Health Maintenance Organization - Point of Service)|Peoples Health Patriot (Preferred Provider Organization)|Peoples Health Secure Complete (Health Maintenance Organization - Point of Service Dual Eligible Special Needs Plan)|Peoples Health Secure Health (Health Maintenance Organization - Point of Service Dual Eligible Special Needs Plan)|RHMP|Rocky Mountain Colorado|Rocky Mountain HMO|United Behavioral Health|United Healthcare|UnitedHealthcare / Definity Health Plan|UnitedHealthcare / Empire Plan|UnitedHealthcare / Peoples Health|UnitedHealthcare / UnitedHealthcare Plan of the River Valley|UnitedHealthcare / UnitedHealthcare of the Mid-Atlantic, MD IPA, Optimum Choice and MAMSI Life and Health|UnitedHealthcare Community Care Indiana|UnitedHealthcare Community Plan (AmeriChoice Pennsylvania Primary Care Provider)|UnitedHealthcare Community Plan - South Carolina (Formerly Known As Unison)|UnitedHealthcare Community Plan / UnitedHealthcare Dual Complete|UnitedHealthcare Community Plan / UnitedHealthcare Dual Complete - Oxford Medicare Network|UnitedHealthcare Community Plan / UnitedHealthcare Long Term Care|UnitedHealthcare Definity Health Plan|UnitedHealthcare Level Funded /UnitedHealthcare Level Funded / AK, AL, AR, AZ, CA, CO, CT, DC, DE, FL, ID, IN, MA, ME, MN, MT, ND, NH, NJ, NM, NV, NY, OR, PA, SD, TX, UT, VA, WA, WY|UnitedHealthcare MAHP Maryland Individual Practice Association Optimum Choice MAMSI|UnitedHealthcare Medicare / Care Improvement Plus (CIP), XLHealth|UnitedHealthcare Medicare / UnitedHealthcare Chronic Complete|UnitedHealthcare Medicare / UnitedHealthcare Group Medicare Advantage|UnitedHealthcare Medicare / UnitedHealthcare MedicareComplete|UnitedHealthcare Medicare / UnitedHealthcare MedicareDirect|UnitedHealthcare Medicare / UnitedHealthcare Nursing Home Plan|UnitedHealthcare Medicare Solutions UHC Chronic Complete (Evercare)|UnitedHealthcare Medicare Solutions UHC MedicareComplete (SecureHorizons)|UnitedHealthcare Plan of the River Valley|UnitedHealthcare West (PacifiCare Arizona, Colorado, Nevada)|UnitedHealthcare West / UnitedHealthcare of CA, OK, OR, TX, WA and PacifiCare of AZ, CO, NV","Aliases":"00198|10002|10122|10187|10192|10318|10636|10655|10806|10807|10828|11076|11077|14339|2721|3429|3550|3556|4523|62183|6442|6847|6889|72126|7470|77082|840614905|84065|8455|87726|87726E|87726MA|95123|96107|ADTWS|BHPTN|GUPZA|J87726MA|JDHS|JLNEJ|LSNGD|MAMSI|MDC01|NGHPRT|NYU01|PHCYF|QKEAB|RKYMHP|RMHMO|RMHP|SX141|UHC|UHCMP|VALHL|WCHEA|XFUHB|ZRGSA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"GU|NATIONAL","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"FIVMG","ParentPayerGroupName":"UnitedHealth Group","WebsiteUrl":"https://www.uhc.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MCHVL","PrimaryPayerId":"04567","DisplayName":"UnitedHealthcare Community Plan","Names":"UHC Community Plan","Aliases":"04567|25175|6893|86048","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"FIVMG","ParentPayerGroupName":"UnitedHealth Group","WebsiteUrl":"https://www.uhcprovider.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PFKXV","PrimaryPayerId":"96385","DisplayName":"UnitedHealthcare Community Plan - KS (KanCare)","Names":"UnitedHealthcare Community Plan - Kansas (KanCare)|UnitedHealthcare Community Plan / KS - KanCare|UnitedHealthcare Community Plan Kansas (KanCare)","Aliases":"10835|5646|6283|96385","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"KS","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"FIVMG","ParentPayerGroupName":"UnitedHealth Group","WebsiteUrl":"https://www.uhcprovider.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VKNYB","PrimaryPayerId":"95467","DisplayName":"UnitedHealthcare Community Plan - Michigan, Utah","Names":"United Healthcare Community Plan Michigan (Great Lakes Health Plan)|United Healthcare Facets Pittsburgh Community & State|UnitedHealthcare Community Plan - Michigan|UnitedHealthcare Community Plan - Utah|UnitedHealthcare Community Plan Michigan (Great Lakes Health Plan)|UnitedHealthcare Facets Detroit - Community and State","Aliases":"10834|10836|1886|8577|95467|UHCGLH|WFZMI","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"MI","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"FIVMG","ParentPayerGroupName":"UnitedHealth Group","WebsiteUrl":"https://www.uhcprovider.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ATYQS","PrimaryPayerId":"86047","DisplayName":"UnitedHealthcare Community Plan New Jersey","Names":"AmeriChoice of New Jersey","Aliases":"10018|12243|2806|7510|86001|86047|86047MA|ACNJ|AMNJC|KCKES","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"NJ","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"FIVMG","ParentPayerGroupName":"UnitedHealth Group","WebsiteUrl":"https://www.uhcprovider.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JQPKD","PrimaryPayerId":"87748","DisplayName":"Unitedhealthcare Community Plan New Mexico Medicaid","Names":"UHC NM Medicaid - Turquoise|UHC NM Medicaid - Turquoise Care|UnitedHealthcare Community Plan of New Mexico","Aliases":"1856|2690|87748","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"NM","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"FIVMG","ParentPayerGroupName":"UnitedHealth Group","WebsiteUrl":"https://www.uhcprovider.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WDELT","PrimaryPayerId":"86049","DisplayName":"UnitedHealthcare Community Plan of Pennsylvania","Names":"AmeriChoice Pennsylvania (Medicaid Children's Health Insurance Program)|AmeriChoice of Pennsylvania","Aliases":"2827|86049","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"PA","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"FIVMG","ParentPayerGroupName":"UnitedHealth Group","WebsiteUrl":"https://www.uhcprovider.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LNZMF","PrimaryPayerId":"WID01","DisplayName":"UnitedHealthcare Community plan of Wisconsin","Names":"United Americhoice Wisconsin","Aliases":"6890|WID01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"36-2739571","CoverageTypes":"","OperatingStates":"WI","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"FIVMG","ParentPayerGroupName":"UnitedHealth Group","WebsiteUrl":"https://www.uhcprovider.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YDWFY","PrimaryPayerId":"95378","DisplayName":"UnitedHealthcare Community Plan Tennessee","Names":"UnitedHealthCare Community Plan Tennessee (AmeriChoice Tennessee TennCare Secure Plus Complete)|UnitedHealthCare Community Plan of Tennessee|UnitedHealthCare Plan of the River Valley|UnitedHealthcare Community Plan TN","Aliases":"101133|11025|7734|95378","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"TN","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"FIVMG","ParentPayerGroupName":"UnitedHealth Group","WebsiteUrl":"https://www.uhcprovider.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KGNLA","PrimaryPayerId":"TEX01","DisplayName":"UnitedHealthcare Community Plan Texas","Names":"","Aliases":"6891|TEX01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TX","Programs":"","PtanRequired":"false","ParentPayerGroupId":"FIVMG","ParentPayerGroupName":"UnitedHealth Group","WebsiteUrl":"https://www.uhcprovider.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JEQRO","PrimaryPayerId":"52133","DisplayName":"UnitedHealthcare Dental","Names":"American Medical Security|Dental Benefits Providers|Health Net - Commercial|Lincoln Financial Group (Salt Lake City)|National Pacific Dental (California)|National Pacific Dental (Texas)|National Pacific of Texas (NCFLEX)|Nevada Pacific Dental|PacifiCare Dental & Vision Plan|Pacific Union Dental (California)|United HealthCare Global (Inside U.S.)","Aliases":"10787|11271|52133|521337971|6040|9194|CX001|CX053|CX057|CX060|HOFJD|JPF01|SBEGF|TLW59|VFJWB|Z96290","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|vision","OperatingStates":"NATIONAL","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"FIVMG","ParentPayerGroupName":"UnitedHealth Group","WebsiteUrl":"https://www.dbp.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YEJAS","PrimaryPayerId":"95959","DisplayName":"UnitedHealthcare West (PacifiCare Arizona Colorado Nevada)","Names":"PacifiCare of Colorado|United Healthcare West Encounters (Pacificare)|UnitedHealthCare West (PacifiCare Arizona Colorado Nevada)","Aliases":"2740|2741|5468|6895|8956|95958|95959|COPHS","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"FIVMG","ParentPayerGroupName":"UnitedHealth Group","WebsiteUrl":"https://www.uhcprovider.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TMTSA","PrimaryPayerId":"16063","DisplayName":"Unitrin Direct Property and Casualty Company","Names":"Kemper","Aliases":"16063","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.kemper.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VQMLU","PrimaryPayerId":"A1152","DisplayName":"Unity Health Partners","Names":"","Aliases":"9154|A1152","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.unityhealthpartners.net","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HMVMD","PrimaryPayerId":"SX087","DisplayName":"Univera Health Care Plan ChoiceCare (Buffalo)","Names":"Univera Healthcare Plan ChoiceCare (Buffalo)","Aliases":"1790|SX087","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"COAGD","PrimaryPayerId":"UNINW","DisplayName":"Univera Healthcare","Names":"Master, Mates, and Pilots|The Lifetime Healthcare Companies|Univera PPO","Aliases":"10535|15003|16107|2779|3476|3598|543|APFNY|HC001|NRQAJ|SX086|UNINW|UNIVNY|UTEAT","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"NY","Programs":"COMMERCIAL|MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.univerahealthcare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MCAMK","PrimaryPayerId":"SX091","DisplayName":"Univera SSA WNY","Names":"","Aliases":"3407|SX091","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VGAQI","PrimaryPayerId":"UNBCI","DisplayName":"Universal Benefits Corporation","Names":"","Aliases":"UNBCI","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.transamerica.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RCFGK","PrimaryPayerId":"UNBC2","DisplayName":"Universal Benefits Corporation Cedar Rapids","Names":"","Aliases":"UNBC2","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.transamerica.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RGERX","PrimaryPayerId":"93220","DisplayName":"Universal Fidelity Administrators Company","Names":"","Aliases":"93220","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VYNTC","PrimaryPayerId":"53684","DisplayName":"Universal Health Fellowship","Names":"Universal HealthShare","Aliases":"5099|53684|9148","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://universalhealthfellowship.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UVMRP","PrimaryPayerId":"6063","DisplayName":"Universal Healthcare IPA","Names":"","Aliases":"1851914378|6063|9219|UHIPA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"EJHXT","ParentPayerGroupName":"Universal HealthCare Group","WebsiteUrl":"https://universalhealthcareipa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YTQSP","PrimaryPayerId":"UHA01","DisplayName":"University Health Alliance Health Insurance","Names":"UHA Health Insurance","Aliases":"UHA01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"HI","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.uhahealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ISONL","PrimaryPayerId":"46407","DisplayName":"University Health Care Advantage","Names":"University HealthCare Advantage","Aliases":"10699|46407|7217|8634|UPCAA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JDZPX","PrimaryPayerId":"42724","DisplayName":"University Health System Employee Health Plans","Names":"University Health System Employee Health Plans","Aliases":"42724","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NSNVH","PrimaryPayerId":"75130","DisplayName":"University Medical Center Health Plan (Lubbock)","Names":"UMC Health Plan|UMC Health Plan (Lubbock)","Aliases":"1670|5711|75130","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TX","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.umchealthsystem.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NKVCL","PrimaryPayerId":"UCDMG","DisplayName":"University of California Davis Health System","Names":"UC Davis Health System","Aliases":"6877|7647|94603|UCDMG","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://health.ucdavis.edu","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CZDBR","PrimaryPayerId":"37601","DisplayName":"University of Illinois at Chicago Division of Specialized Care for Children","Names":"","Aliases":"37601|8800","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"IL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://dscc.uic.edu","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IGZCV","PrimaryPayerId":"UIC67","DisplayName":"University of Illinois Chicago CampusCare","Names":"UIC CampusCare","Aliases":"1211|3585|UIC67","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"IL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://campuscare.uic.edu","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KUHBM","PrimaryPayerId":"J1941","DisplayName":"University of Kentucky Health Services","Names":"","Aliases":"J1941","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"KY","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://hr.uky.edu","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TBIKS","PrimaryPayerId":"UMHCJ","DisplayName":"University of Massachusetts Medical School Health and Criminal Justice Program","Names":"","Aliases":"7810|8591|UMHCJ","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MTHRL","PrimaryPayerId":"37330","DisplayName":"University of Michigan Health Plan","Names":"PHP of Michigan|Physician Health Plan|UM Health Plan","Aliases":"1936|2498|37330|PHPMI","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"MI","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.uofmhealthplan.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZPKZT","PrimaryPayerId":"UTMBC","DisplayName":"University of Texas Medical Branch Correctional Managed Care","Names":"UTMB Correctional Managed Care","Aliases":"1094|8122|UTMBC|UTMBU|ZBJPC","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TX","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.utmb.edu/cmc","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AJKPI","PrimaryPayerId":"SX155","DisplayName":"University of Utah Health Plans","Names":"Healthy U|UUHP|University of Utah Health Plan","Aliases":"10977|4779|5920|SX155|UNUTHP|Z1030","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"true","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"ID|MT|NV|UT|WY","Programs":"","PtanRequired":"false","ParentPayerGroupId":"APYXI","ParentPayerGroupName":"University of Utah Group","WebsiteUrl":"https://uhealthplan.utah.edu","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PUNDL","PrimaryPayerId":"07503","DisplayName":"University Physicians Healthcare Group","Names":"","Aliases":"07503","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RMTLR","PrimaryPayerId":"STR01","DisplayName":"Unum","Names":"Always Care Benefits|Provident Life and Casualty Insurance Company|Starmount Dental|Starmount Life Insurance Company|Unum Dental|Unum Group","Aliases":"9129|STR01|STRDH","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.unum.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MEFGI","PrimaryPayerId":"IP056","DisplayName":"Upland Medical Group","Names":"","Aliases":"IP056","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PKXKN","PrimaryPayerId":"23281","DisplayName":"UPMC Health Plan","Names":"UPMC Dental Advantage|UPMC Health Plan (TriState)|University of Pittsburgh Medical Center Dental Advantage|University of Pittsburgh Medical Center Health Plan","Aliases":"10288|23281|23281MA|23281MAP|2803|7543|95216|U3281|UPMC|UPMCD","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"23-2813536|25-1769564","CoverageTypes":"dental|medical|vision","OperatingStates":"OH|PA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"SHQYG","ParentPayerGroupName":"UPMC Health System Group","WebsiteUrl":"https://www.upmchealthplan.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JLPFG","PrimaryPayerId":"37324","DisplayName":"Upper Peninsula Health Group","Names":"UPHG","Aliases":"00446|1792|2686|37324","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"MI","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.uphealthgroup.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RMSKN","PrimaryPayerId":"38337","DisplayName":"Upper Peninsula Health Plan","Names":"UPHP|Upper Peninsula Health Plan (Medicaid)","Aliases":"11097|2532|3741|38337|38337MA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"true","EligibilityInquiryEnrollmentType":"MULTI_STEP","EligibilityInquiryEnrollmentTimeframe":"DAYS","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"MI","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"HKDGD","ParentPayerGroupName":"Apollo Global Management Group","WebsiteUrl":"https://www.uphp.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DXWBR","PrimaryPayerId":"63103","DisplayName":"Uprise Health","Names":"American Behavioral","Aliases":"5244|63103|8935","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://americanbehavioral.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KJFHM","PrimaryPayerId":"50291","DisplayName":"Urogen Support","Names":"UroGen Pharma","Aliases":"50291","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://urogensupport.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZKQZQ","PrimaryPayerId":"90392","DisplayName":"US Benefits-ICL 1117","Names":"US Benefits|US Benefits-ICL 1117","Aliases":"90392","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.yourusbenefits.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QMCKB","PrimaryPayerId":"J1114","DisplayName":"US FoodService Incorporated","Names":"US Foodservice Incorporated","Aliases":"J1114","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BDQAQ","PrimaryPayerId":"50383","DisplayName":"US Imaging Network","Names":"US Imaging Network (New York)","Aliases":"50383|5650|6444","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NATIONAL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://usimagingnetwork.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TDUOA","PrimaryPayerId":"74095","DisplayName":"USAA","Names":"Garrison Property and Casualty Insurance Company|USAA Casualty Insurance Company|USAA General Indemnity Company|United Services Automobile Association|United Services Automobile Association Medicare Supplemental","Aliases":"10195|2489|6477|74095|74147|7527|9249|J1822|JEFMC|USAAM|USALCO|WQLQF|Z1316","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.usaa.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DLEJD","PrimaryPayerId":"9047P","DisplayName":"USC Health Services","Names":"University of Southern California Health Services","Aliases":"9047P","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VCURB","PrimaryPayerId":"87347","DisplayName":"USFHP at PacMed","Names":"Pacific Medical Centers (PACMED USFHP)|U.S. Family Health Plan Northwest Region|US Family Health Plan at PacMed|USFHP@PacMed","Aliases":"2868|8071|87347|99999-0ARF","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"TRICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.usfhpnw.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VNJMP","PrimaryPayerId":"13407","DisplayName":"USFHP Saint Vincent","Names":"St. Vincent Catholic Medical Center|St. Vincent Catholic Medical Centers of New York|USFHP St. Vincent Medical Center|Uniformed Services Family Health Plan","Aliases":"13407|2845|7542","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://usfhp.net","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LWELP","PrimaryPayerId":"C1027","DisplayName":"Utica","Names":"","Aliases":"C1027","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VPLUF","PrimaryPayerId":"25976","DisplayName":"Utica Mutual Insurance Company","Names":"","Aliases":"25976","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.uticanational.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QPWVK","PrimaryPayerId":"QPWVK","DisplayName":"Utica Mutual Insurance Company – Workers Compensation","Names":"Utica Mutual Insurance Company (WC)","Aliases":"QPWVK","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FUWGE","PrimaryPayerId":"43478","DisplayName":"Utica National Insurance Group","Names":"Utica Mutual Insurance Company|Utica National Insurance Company of Texas","Aliases":"43478","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION|AUTOMOBILE_MEDICAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.uticanational.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DRXNE","PrimaryPayerId":"98455","DisplayName":"UTMB Health Multi Share Plan","Names":"","Aliases":"2761|7932|98455","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TX","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.utmb.edu","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CUDBW","PrimaryPayerId":"UT3F","DisplayName":"UTMB Health Multi-Share Plan","Names":"The University of Texas Medical Branch 3 Share Program|University of Texas Medical Branch 3 Share Program","Aliases":"UT3F","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TX","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.utmb.edu","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AUKWB","PrimaryPayerId":"87892","DisplayName":"UTMB Health Plans, Inc","Names":"","Aliases":"2762|7933|87892","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TX","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.utmb.edu","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YTJAX","PrimaryPayerId":"Z96272","DisplayName":"VA Healthcare","Names":"VA Health Administration Center","Aliases":"10850|Z96272","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NATIONAL","Programs":"VETERANS_AFFAIRS","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.va.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GDQNC","PrimaryPayerId":"VALHLTH","DisplayName":"Vale U Health","Names":"Vale University Health","Aliases":"8281|VALHLTH","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZHPVF","PrimaryPayerId":"83313","DisplayName":"Valenz Surgical & Imaging","Names":"CAREOperative|Kisx Card LLC|Vālenz Health","Aliases":"6039|83313|9193","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://surgicalimaging.valenzhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RUMLH","PrimaryPayerId":"R3463","DisplayName":"Valir PACE Organization","Names":"","Aliases":"48123|R3463","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"OK","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://valir.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BWEXZ","PrimaryPayerId":"VCIPA","DisplayName":"Valley Care IPA","Names":"Valley Care Independent Practice Association|Valley Care Select IPA","Aliases":"7124|VCIPA|VSIPA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PAFHJ","PrimaryPayerId":"SLIC2","DisplayName":"Valley Forge - Iowa","Names":"Stonebridge Life Insurance Company (Cedar Rapids Iowa)|Transamerica","Aliases":"SLIC2","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.transamerica.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OLBTW","PrimaryPayerId":"SLIC1","DisplayName":"Valley Forge Pennsylvania","Names":"Stonebridge Life Insurance Company (Valley Forge Pennsylvania)|Transamerica","Aliases":"SLIC1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.transamerica.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IGKJB","PrimaryPayerId":"VHP01","DisplayName":"Valley Health Plan","Names":"VHP|Valley Health Plan (Commercial)","Aliases":"10949|6818|9647|VHP01","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"true","DentalClaimEnrollmentType":"MULTI_STEP","DentalClaimEnrollmentTimeframe":"WEEKS","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.valleyhealthplan.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ASLGT","PrimaryPayerId":"VHP02","DisplayName":"Valley Health Plan (Medi-Cal)","Names":"","Aliases":"6238|VHP02","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.valleyhealthplan.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PWYKI","PrimaryPayerId":"MPM53","DisplayName":"Valley Presbyterian Hospital","Names":"MedPOINT Management","Aliases":"7006|9288|MPM53","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medpointmanagement.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CDFOL","PrimaryPayerId":"MPM61","DisplayName":"Valley Presbyterian Hospital Community Family Care","Names":"MedPOINT Management","Aliases":"4089|8831|MPM61","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medpointmanagement.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MGRJO","PrimaryPayerId":"MPM60","DisplayName":"Valley Presbyterian Hospital Preferred IPA","Names":"MedPOINT Management|Valley Presbyterian Hospital Preferred Independent Practice Association","Aliases":"4090|8832|MPM60","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medpointmanagement.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QORVZ","PrimaryPayerId":"43259","DisplayName":"Valor Health Plan","Names":"","Aliases":"16612|2000|43259|43259MA|8132","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"OH","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.valorhealthplan.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XNHXL","PrimaryPayerId":"00815","DisplayName":"ValueOptions Colorado Medicaid","Names":"Value Options Colorado Medicaid","Aliases":"00815|11061","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QDSOW","PrimaryPayerId":"00817","DisplayName":"ValueOptions Pennsylvania Medicaid","Names":"Value Options Pennsylvania Medicaid","Aliases":"00817","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BQRNU","PrimaryPayerId":"77036","DisplayName":"Van Lang IPA","Names":"TECQ Foundation|TECQ Partners|Van Lang Independent Practice Association","Aliases":"7016|77036|9298","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.tecqpartners.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XQXJW","PrimaryPayerId":"VHAN1","DisplayName":"Vanderbilt","Names":"Vanderbilt Health Affiliated Network","Aliases":"VHAN1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.vhan.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IFQEX","PrimaryPayerId":"BPSLLC","DisplayName":"Vanderbilt University Medical Center","Names":"","Aliases":"3097|8720|BPSLLC","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HCXMQ","PrimaryPayerId":"21172","DisplayName":"Vanliner Insurance","Names":"Great American Insurance Group|National Interstate Insurance","Aliases":"21172","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://natl.com/vanliner","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QDIZA","PrimaryPayerId":"VPA18","DisplayName":"Variable Protection Administrators (VPA)","Names":"Variable Protection Administrators","Aliases":"5612|6245|VPA18","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GRIWV","PrimaryPayerId":"72187","DisplayName":"Varipro","Names":"VariPro|Varipro TPA","Aliases":"2019|72187|8154","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://varipro.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BLJKQ","PrimaryPayerId":"VS402","DisplayName":"Vault Strategies","Names":"Vault AMPS Administrative Services (Georgia Realtors Association)|Vault Asset Management and Property Services Administrative Services (Georgia Realtors Association)","Aliases":"5085|9132|VS402","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.allthingsvault.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HEFYH","PrimaryPayerId":"13010","DisplayName":"Vaya Health","Names":"Smoky Mountain Center|Smoky Mountain Local Management Entity Managed Care Organization","Aliases":"13010|5645|6233|VAYAH","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"ONE_CLICK","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"ONE_CLICK","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"NC","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://providers.vayahealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EDKMJ","PrimaryPayerId":"VCHCP","DisplayName":"Ventura County Health Care Plan","Names":"VCHCP","Aliases":"7718|9659|VCHCP","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://vchcp.venturacounty.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LSKDM","PrimaryPayerId":"98603","DisplayName":"Verda (TPHN)","Names":"Verda Healthcare","Aliases":"98603","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://verdahealthcare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XCHFX","PrimaryPayerId":"VERAZ","DisplayName":"Verda Health Plan of Arizona","Names":"Verda Healthcare|Verda Healthcare Arizona","Aliases":"VERAZ","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"AZ","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.verdahpaz.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NZLKM","PrimaryPayerId":"VERTX","DisplayName":"Verda Health Plan of Texas","Names":"Verda HealthCare Texas|Verda Healthcare","Aliases":"1850|3687|VERTX","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"TX","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://verdahptx.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WJUPX","PrimaryPayerId":"86070","DisplayName":"Verdegard Employee Plan","Names":"IMX Easy","Aliases":"2755|7931|86070","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://verdegard.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KXYND","PrimaryPayerId":"VMMH2","DisplayName":"Verity Plus","Names":"","Aliases":"VMMH2","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"OR","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://multco.us","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SFJZF","PrimaryPayerId":"SFJZF","DisplayName":"Verizon Communications – Workers Compensation","Names":"Verizon Communications","Aliases":"SFJZF","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MKZUY","PrimaryPayerId":"VESTA","DisplayName":"VestaCare","Names":"Vestacare","Aliases":"6879|7655|VESTA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.vestacare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YPJUK","PrimaryPayerId":"55912","DisplayName":"Veteran Affairs Patient Centered Community Care Program (VAPCCC) Region 3","Names":"","Aliases":"55912|BEBGN|VAP33","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SKEKZ","PrimaryPayerId":"VAPC3","DisplayName":"Veteran Affairs Patient Centered Community Care Program (VAPCCC) Region 5A","Names":"","Aliases":"VAPC3","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KBKDM","PrimaryPayerId":"55916","DisplayName":"Veteran Affairs Patient Centered Community Care Program (VAPCCC) Region 5B","Names":"","Aliases":"55916","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WQVHQ","PrimaryPayerId":"VAPC6","DisplayName":"Veteran Affairs Patient Centered Community Care Program (VAPCCC) Region 6","Names":"","Aliases":"VAPC6","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZYFDR","PrimaryPayerId":"VACCN","DisplayName":"Veterans Affairs Community Care Network (Optum Serve)","Names":"Veterans Affairs Community Care Network Region 1|Veterans Affairs Community Care Network Region 2|Veterans Affairs Community Care Network Region 3","Aliases":"3009|8257|VACCN|VAFEE|VAPCCC1|VAPCCC2|VAPCCC3","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"NATIONAL","Programs":"VETERANS_AFFAIRS","PtanRequired":"false","ParentPayerGroupId":"FIVMG","ParentPayerGroupName":"UnitedHealth Group","WebsiteUrl":"https://www.vacommunitycare.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DLKZX","PrimaryPayerId":"841160004","DisplayName":"Veterans Affairs Community Care Network (TriWest Healthcare Alliance Region 4 )","Names":"Veterans Affairs Community Care Network Region 4","Aliases":"841160004|TWVA4|VAPCCC4","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PKPZJ","PrimaryPayerId":"841160005","DisplayName":"Veterans Affairs Community Care Network (TriWest Healthcare Alliance Region 5)","Names":"Veterans Affairs Community Care Network Region 5","Aliases":"841160005|TWVA5|TWVACCN","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VHPVI","PrimaryPayerId":"841160006","DisplayName":"Veterans Affairs Community Care Network (TriWest Healthcare Alliance Region 6)","Names":"VACCN|Veterans Affairs Community Care Network Region 6","Aliases":"841160006|QPDPC|TWVA6|VAPCCC6|ZTWYS","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"ONE_CLICK","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"ONE_CLICK","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"86-0813402","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://triwest.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DVITS","PrimaryPayerId":"12115","DisplayName":"Veterans Affairs Fee Basis Program","Names":"VA Fee Basis Program","Aliases":"00231|10196|12115|12115MA|12116|1507|3887|VETFBP","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NATIONAL","Programs":"VETERANS_AFFAIRS","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.va.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DLYQP","PrimaryPayerId":"VAFSC","DisplayName":"Veterans Affairs Financial Services Center","Names":"U.S. Department of Veterans Affairs","Aliases":"6987|VAFSC","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"NATIONAL","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.fsc.va.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DAWRJ","PrimaryPayerId":"VCH01","DisplayName":"ViCare Health","Names":"Vicare Health|Wellpoint FULL DUAL Advantage","Aliases":"3881|9087|VCH01","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.vicarehealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FWDEX","PrimaryPayerId":"J1116","DisplayName":"Vicorp Restaurants Incorporated","Names":"","Aliases":"J1116","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IKPAD","PrimaryPayerId":"25922","DisplayName":"VieCare Life Armstrong","Names":"","Aliases":"25922|6011|9160","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"PA","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://lifeviecare.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZGUHU","PrimaryPayerId":"25924","DisplayName":"VieCare Life Beaver and Life Lawrence Counties","Names":"Lutheran SeniorLife|Viecare Life Beaver and Life Lawrence Counties","Aliases":"25924|7706|9649","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"PA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://lifeviecare.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BTMNB","PrimaryPayerId":"25923","DisplayName":"Viecare Life Butler","Names":"VieCare Life Butler","Aliases":"25923|3487|6012|9161","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"PA","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://lifeviecare.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YLCFZ","PrimaryPayerId":"MCA11","DisplayName":"Village Medical","Names":"MCA|Memorial Clinical Associates|SelectCare of Texas","Aliases":"MCA11","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.villagemedical.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CYARS","PrimaryPayerId":"26545","DisplayName":"VillageCareMAX","Names":"Village Senior Services Corporation","Aliases":"14457|26545|26545MA|6834|7620","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NY","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.villagecaremax.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MGJMS","PrimaryPayerId":"42636","DisplayName":"VillageMD of Georgia","Names":"","Aliases":"42636","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"GA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.villagemd.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VEVCQ","PrimaryPayerId":"54138","DisplayName":"Virginia Health Network Inc","Names":"MedCost VA|MedCost Virginia|MedCost Virginia Network","Aliases":"54138|6186|7939","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"VA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medcost.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RLEVF","PrimaryPayerId":"VAPRM","DisplayName":"Virginia Premier Health","Names":"","Aliases":"54176|7828|VAPRM|VAPRMMA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RDTOZ","PrimaryPayerId":"J1404","DisplayName":"Virginia Surety Company Incorporated","Names":"Assurant","Aliases":"J1404","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.assurant.com.au/virginia-surety","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HDYRO","PrimaryPayerId":"31626","DisplayName":"Visiting Nurse Association Homecare Options","Names":"VNA Homecare Options|Visiting Nurse Association HomeCare Options","Aliases":"31626|6842|7622","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://nascentiahealth.org","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AIWEQ","PrimaryPayerId":"67524","DisplayName":"Vital Protection","Names":"","Aliases":"67524","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VIBZH","PrimaryPayerId":"IHS25","DisplayName":"Vitori Health","Names":"","Aliases":"1702|8091|FH105|IHS25","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://vitorihealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AUJNU","PrimaryPayerId":"VUIPA","DisplayName":"Vitruvian Care Incorporated","Names":"","Aliases":"1958|2242|VUIPA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.vitruviancare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RPQMA","PrimaryPayerId":"63114","DisplayName":"Viva Health","Names":"Viva Health Incorporated|Viva Health Plan|Viva Medicare","Aliases":"10468|4472|5949|63114|63114MA|VIVA|VIVAHL","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"AL","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.vivahealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DLRSV","PrimaryPayerId":"RCMG1","DisplayName":"Vivant Health","Names":"River City Medical Group","Aliases":"5654|6296|9434|AMM23|DBUAX|RCMG1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://vivanthealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OKVLF","PrimaryPayerId":"10993","DisplayName":"Vivity","Names":"Anthem Blue Cross|Anthem Blue Cross Blue Shield of California|Vivity Health","Aliases":"10993","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"CA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.vivityhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XTING","PrimaryPayerId":"77073","DisplayName":"VNS Health","Names":"VNS Health Medicare|VNSNY CHOICE Medicare|Visiting Nurse Service of New York Choice","Aliases":"10600|4258|5959|77073|77073MA|VNSNY","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"NY","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.vnshealthplans.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NBVYO","PrimaryPayerId":"J1405","DisplayName":"Vought Aircraft Industries","Names":"","Aliases":"J1405","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GWRCD","PrimaryPayerId":"94163","DisplayName":"VSP Vision Service Plan","Names":"Eyefinity","Aliases":"94163","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical|vision","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.vspproviderhub.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TSMHS","PrimaryPayerId":"99915","DisplayName":"Vxtra Health Plan Inc.","Names":"","Aliases":"1885|3958|99915","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://vxtrahealth.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DYJSU","PrimaryPayerId":"RP042","DisplayName":"Vytalize Health","Names":"","Aliases":"9272|RP042","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.vytalizehealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZHDZV","PrimaryPayerId":"J1004","DisplayName":"Walmart","Names":"","Aliases":"J1004","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.walmartclaimsservices.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QDVZK","PrimaryPayerId":"QDVZK","DisplayName":"Walmart – Workers Compensation","Names":"Walmart (WC)","Aliases":"QDVZK","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ADLVJ","PrimaryPayerId":"WCHGF","DisplayName":"Washington County General Fund","Names":"","Aliases":"1247|4578|77111|WCHGF","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"OR","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.washingtoncountyor.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HBRHL","PrimaryPayerId":"WCHHS","DisplayName":"Washington County Health and Human Services","Names":"","Aliases":"WCHHS","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"OR","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.washingtoncountyor.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NABXM","PrimaryPayerId":"SX064","DisplayName":"Washington Labor and Industry Workers Compensation","Names":"Washington State Department of Labor & Industries","Aliases":"5563|SX064","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"WA","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://lni.wa.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FRVNV","PrimaryPayerId":"70319","DisplayName":"Washington National","Names":"Washington National Insurance Company","Aliases":"10853|70319","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://washingtonnational.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HKXCM","PrimaryPayerId":"LABOR","DisplayName":"Washington State Department of Labor and Industries","Names":"Department of Labor and Industry (Washington)","Aliases":"LABOR","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"WA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.lni.wa.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MOQCK","PrimaryPayerId":"SX063","DisplayName":"Washington State Department of Labor and Industry","Names":"Washington State Dept. of Labor & Industries","Aliases":"4404|SX063|WALAI","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"WA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.lni.wa.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BLHFL","PrimaryPayerId":"MPM09","DisplayName":"Watts Healthcare","Names":"MedPOINT Management|Watts HealthCare","Aliases":"5873|9526|MPM09","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.wattshealth.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PWPWV","PrimaryPayerId":"1346277209","DisplayName":"Wca-Medtrans - Brms","Names":"Benefit & Risk Management Services","Aliases":"1346277209","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://brmsonline.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MEACW","PrimaryPayerId":"ZP701","DisplayName":"WCF Mutual Insurance Company","Names":"","Aliases":"ZP701","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WUOPN","PrimaryPayerId":"75261","DisplayName":"WebTPA","Names":"GuideWell|WebTPA Employer Services LLC","Aliases":"10532|1706|4559|59332|75261|WBTPA|WEBTPA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"75-2611444","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.webtpa.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SZBHR","PrimaryPayerId":"WBHCA","DisplayName":"WelbeHealth","Names":"","Aliases":"7076|9477|WBHCA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"CA","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://welbehealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AYVCV","PrimaryPayerId":"MPM57","DisplayName":"Welcome Health","Names":"MedPOINT Management","Aliases":"MPM57","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.medpointmanagement.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EGASA","PrimaryPayerId":"14163","DisplayName":"Wellcare","Names":"American Progressive|Central Senior Care|Easy Choice Health Plan California|Fidelis Care New Jersey|First Choice Health Plans of Connecticut|Fresenius Medical Care|Generations|Golden Triangle Physician Alliance SelectCare Texas|Harmony Health Plan|HealthEase|HealthEase Kids|Heritage Physician Network (Houston)|Island Home Insurance Company|Katy Medical Claims|Katy Medical Group|MED3000 Centers for Medicare & Medicaid Services Title 19 Reform|MED3000 Centers for Medicare & Medicaid Services Title 21|Memorial Clinical Associates SelectCare Texas|Missouri Care Managed Care|Northwest Diagnostic Clinic SelectCare Texas|Ohana Health Plan|Pinnacle Physician Management|Select Senior Clinic|SelectCare Health Plan Health Maintenance Organization (North Texas)|SelectCare Health Plan Health Maintenance Organization (Texas and Oklahoma Panhandle)|SelectCare Texas (Heritage Physicians Network)|SelectCare Texas Alliance (Kelsey-Seybold Greater Texas Physicians Alliance)|SelectCare of Texas (Beaumont)|SelectCare of Texas (Houston)|SelectCare of Texas (Kelsey-Seybold)|Staywell|Staywell Kids|Texan Plus (Beaumont)|Texan Plus (Houston)|Texan Plus (Kelsey-Seybold)|Texan Plus (Southeast Texas Area)|Texan Plus-SelectCare of Texas (Kelsey-Seybold)|Texas First Health Plan (North Texas)|Texas First Health Plan North Texas|Texas First Health Plan North Texas (SelectCare Health Plan Health Maintenance Organization (Topa))|Texas First Health Plans (Tiopa)|Texas First Health Plans (Topa)|TexasPlus Southeast|Today's Health|Today's Options (American Progressive and Pyramid Health)|Today's Options (American Progressive and Pyramid Life)|Tribute (SelectCare Oklahoma)|Universal American|Village Family Physician|WellCare Health Maintenance Organization|WellCare Health Plans|WellCare Illinois|WellCare Michigan|WellCare by Ohana|WellCare of California|WellCare of Connecticut|WellCare of Florida|WellCare of Georgia|WellCare of Kentucky|WellCare of Michigan & WellCare of Illinois|WellCare of Nebraska|WellCare of New York|WellCare of North Carolina|Windsor Health Plan|Windsor medicare extra","Aliases":"061405640|100842|10488|10510|10511|10512|10513|10515|10576|10921|10944|1119|11216|14163|14163MA|14164|16559|1844|48055|57116|59608|62153|8041|8551|9529|9759|9762|RFVSD|SNICI|TH118|TX1ST|WCHEK|WCHHP|WCOHP|WCSWA|WCSWK|WELLCR|WLLCR|Z95605|ZP4011","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"NATIONAL","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"RZIUK","ParentPayerGroupName":"Centene Corporation Group","WebsiteUrl":"https://www.wellcare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CHWDE","PrimaryPayerId":"59354","DisplayName":"WellCare (Encounters)","Names":"Wellcare Health Plans","Aliases":"3211|4949|59354","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"NATIONAL","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"RZIUK","ParentPayerGroupName":"Centene Corporation Group","WebsiteUrl":"https://www.wellcare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KFNLV","PrimaryPayerId":"4032","DisplayName":"Wellcare (MM) - JVHL","Names":"Wellcare (MM) - Joint Venture Hospital Laboratory","Aliases":"4032|8760|MM","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"ONE_CLICK","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AIKVK","PrimaryPayerId":"CHCS","DisplayName":"Wellcove","Names":"CHCS Services Incorporated","Aliases":"3003|75895|7827|CHCS|XCHCS|Z10899|ZP3719","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://wellcove.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JLNTL","PrimaryPayerId":"87843","DisplayName":"Wellfleet","Names":"Consolidated Health Plans|Wellfleet Group LLC|Wellfleet Insurance Company|Wellfleet Workplace","Aliases":"13277|16710|2670|5803|87843|98585","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://wellfleetinsurance.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PYJGI","PrimaryPayerId":"88848","DisplayName":"Wellmark","Names":"BCBS South Dakota|Wellmark - Medicare Advantage|Wellmark Advantage Health Plan|Wellmark Blue Cross Blue Shield (Iowa, South Dakota)|Wellmark Blue Cross Blue Shield Dental (Iowa, South Dakota)|Wellmark Blue Cross and Blue Shield|Wellmark Blue Cross and Blue Shield of Iowa|Wellmark Blue Cross and Blue Shield of South Dakota|Wellmark Health Plan of Iowa","Aliases":"10395|10396|12B92|1404|1510|2490|6672|6733|88848|88851|CBIA1|CBIA2|IABCBS|IABLM|IABLS|SB640|SB640MA|SB640MAP|SDBLS|ZP239","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"IA|SD","Programs":"COMMERCIAL|MEDICARE","PtanRequired":"false","ParentPayerGroupId":"AMHXD","ParentPayerGroupName":"Wellmark","WebsiteUrl":"https://www.wellmark.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OVOSB","PrimaryPayerId":"WELM2","DisplayName":"WellMed","Names":"UnitedHealthcare|WellMed Medical Management Inc.","Aliases":"00175|101366|16574|3201|7923|PEGUN|TH023|TH023MA|WELM2","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"FL|TX","Programs":"","PtanRequired":"false","ParentPayerGroupId":"FIVMG","ParentPayerGroupName":"UnitedHealth Group","WebsiteUrl":"https://www.wellmed.net","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YSIVF","PrimaryPayerId":"WELMD","DisplayName":"WellMed (Encounters)","Names":"WellMed Medical Encounters","Aliases":"5843|WELMD","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"FL|TX","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.wellmedhealthcare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GTVGE","PrimaryPayerId":"25711","DisplayName":"WellNet","Names":"WellNet Health Plans|WellNet Healthcare","Aliases":"14437|25711|4057|8801","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://wellnet.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"OEFVD","PrimaryPayerId":"93669","DisplayName":"WellNet Healthcare Administrators","Names":"","Aliases":"3808|9060|93669|ZP1022","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"RUWTL","PrimaryPayerId":"WLPNT","DisplayName":"Wellpoint","Names":"Amerigroup|Amerigroup Iowa|Commonwealth of Massachusetts - GIC|UniCare|Wellpoint Insurance Company","Aliases":"14427|1775|2448|2560|WLPNT|WLPNTMA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"AZ|IA|NJ|TN|TX|WA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://providernews.wellpoint.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JDKYD","PrimaryPayerId":"WLPDEN","DisplayName":"Wellpoint Dental","Names":"","Aliases":"WLPDE|WLPDEN","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KTLVK","PrimaryPayerId":"AGPMEDICAID","DisplayName":"WellPoint Medicare Supplement","Names":"Amerigroup|WellPoint","Aliases":"50|AGPMEDICAID","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"true","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.wellpoint.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EVLOA","PrimaryPayerId":"80314","DisplayName":"Wellpoint West Virginia","Names":"GIC (Indemnity Plan)|Reliastar (CA)|UniCare (Medicaid Reclamation)|UniCare Dental|UniCare Special Accounts|Unicare|Wellpoint Life and Health Insurance Company","Aliases":"10285|10791|4589|80314|80314D|80314MA|8473|UNI|UNICAR|UNID","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"WV","Programs":"COMMERCIAL|MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.wellpoint.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WZSCW","PrimaryPayerId":"13337","DisplayName":"WellSense Health Plan","Names":"BMC HealthNet Plan|Boston Medical Center Health Plan|Boston Medical Center HealthNet Plan|Boston Medical Center Healthnet|Well Sense","Aliases":"100957|10556|10814|13337|13337MA|2921|3818|BMCHLT|BMCHN|QWLGM|RYCDO|S3337","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"MA|NH","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.wellsense.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XDBWN","PrimaryPayerId":"NEXUS","DisplayName":"WellSpace Nexus LLC","Names":"","Aliases":"8088|9441|NEXUS","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://wellspacenexus.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YXTLD","PrimaryPayerId":"RP129","DisplayName":"WellStar Health Plan","Names":"","Aliases":"2813|7955|CB457|RP129","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"true","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"GA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://wellstarhealthplan.org","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HMBSY","PrimaryPayerId":"91064","DisplayName":"Wenatchee Valley Medical Center","Names":"","Aliases":"5824|5992|91064","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GWCBJ","PrimaryPayerId":"J1857","DisplayName":"Wesco Insurance Company","Names":"","Aliases":"J1857","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"GUPZY","PrimaryPayerId":"66124","DisplayName":"West Covina Medical Group","Names":"","Aliases":"66124","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PWQWG","PrimaryPayerId":"1124174131","DisplayName":"West Hartford Health - Ihp","Names":"West Hartford Health - Ihp","Aliases":"1124174131","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EHYNC","PrimaryPayerId":"GMWP1","DisplayName":"West PACE","Names":"Gary and Mary West PACE|West PACE San Diego|West Program of All-Inclusive Care for the Elderly","Aliases":"9005|GMWP1","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CA","Programs":"MEDICARE|MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://westpace.net","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VSHEY","PrimaryPayerId":"80942","DisplayName":"West Suburban Health Providers","Names":"","Aliases":"4620|6137|80942","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QEFMR","PrimaryPayerId":"100305","DisplayName":"West Virginia Medicaid ","Names":"Medicaid West Virginia|West Virginia Bureau for Medical Services","Aliases":"100305|10200|12K28|2477|5532|CKWV1|SKWV0|WVMCD|WV_MES_4_MMS_IG","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"WV","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.wvpath.wv.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DWCSC","PrimaryPayerId":"70123","DisplayName":"West Virginia Public Employees Insurance Agency","Names":"","Aliases":"70123","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"true","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"WV","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://peia.wv.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YMQNP","PrimaryPayerId":"70023","DisplayName":"West Virginia Senior Advantage","Names":"West Virginia Senior Choice","Aliases":"1252|16717|4583|70023|WVS01","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"WV","Programs":"MEDICARE","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.wvsenioradvantage.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"NUZQU","PrimaryPayerId":"31048","DisplayName":"Western & Southern Financial Group","Names":"Western & Southern Health Plan|Western Southern Financial Group","Aliases":"31048|3979|5415","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.westernsouthern.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IJBEO","PrimaryPayerId":"68039","DisplayName":"Western Health Advantage","Names":"Western Health","Aliases":"10201|5634|6267|68039|77225|WHAP|WSTHA","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"CA","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://advantage.westernhealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WIEVP","PrimaryPayerId":"J1569","DisplayName":"Western National Assurance","Names":"","Aliases":"J1569","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PNJFN","PrimaryPayerId":"J1495","DisplayName":"Western National Insurance Group","Names":"","Aliases":"J1495","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LVBUN","PrimaryPayerId":"J1586","DisplayName":"Western National Insurance Pioneer Specialties","Names":"Western National Insurance Pioneer Specialities","Aliases":"J1586","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZHVBJ","PrimaryPayerId":"RP083","DisplayName":"Western Pennsylvania Electrical Employees Insurance Trust Fund","Names":"WPEE Insurance Trust Fund","Aliases":"8043|9761|RP083","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"PA","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.wpeebenefitfunds.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PKWKY","PrimaryPayerId":"TLW33","DisplayName":"Western Pennsylvania Teamsters Fund","Names":"","Aliases":"TLW33","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KOYZE","PrimaryPayerId":"J1858","DisplayName":"Westfield Insurance","Names":"","Aliases":"00173|8836|J1858|WESTF|WESTFLD","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.westfieldinsurance.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZMKTQ","PrimaryPayerId":"ZP234","DisplayName":"WEX Health INC","Names":"WEX Health INC","Aliases":"ZP234","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.wexinc.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"YSAPR","PrimaryPayerId":"65900","DisplayName":"Wilco Life","Names":"","Aliases":"65900|8742|999990AGA","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FACZX","PrimaryPayerId":"93050","DisplayName":"William C. Earhart Company","Names":"William C. Earhart Co Inc.|William C. Earhart Company Incorporated","Aliases":"00076|3465|3919|93050","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"NPI|TIN","ClaimPaymentEnrollmentRequestedEffectiveDate":"NOT_SUPPORTED","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://wcearhart.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TFMFS","PrimaryPayerId":"J1473","DisplayName":"Williams and Sonoma","Names":"","Aliases":"J1473","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SCUBS","PrimaryPayerId":"WHLTH","DisplayName":"Willow Health","Names":"","Aliases":"1126|2506|WHLTH","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ERBKI","PrimaryPayerId":"J1893","DisplayName":"Wilson Mutual Insurance","Names":"","Aliases":"J1893","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CFRVH","PrimaryPayerId":"41095","DisplayName":"Wilson-McShane Corporation","Names":"Alan Sturm & Associates|Benefit Inc.|Wilson McShane","Aliases":"10797|3633|41095|5839|NGRVR|R7002|R7003","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"MN","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.wilson-mcshane.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"SUDMG","PrimaryPayerId":"46485","DisplayName":"Wisconsin Auto Truck Dealer Association (WATDA)","Names":"WI Automobile & Truck Dealers Association","Aliases":"46485","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"WI","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.watda.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JOTHS","PrimaryPayerId":"WICDP","DisplayName":"Wisconsin Chronic Disease Program","Names":"DHSWI|ForwardHealth|Wisconsin Department of Health Services","Aliases":"10452|5901|6764|WCDP|WICDP|WIDCP|WISC_WCDP","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"WI","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.dhs.wisconsin.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UWHKV","PrimaryPayerId":"95930","DisplayName":"Wisconsin Physicians Services Midlands","Names":"","Aliases":"3277|8544|95930","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TIOLQ","PrimaryPayerId":"34080","DisplayName":"Wisconsin Preferred Provider Network (Claritev)","Names":"Claritev|MultiPlan Wisconsin Preferred Provider Network (WPPN)|WPPN","Aliases":"2971|34080|3823","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.claritev.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VQWIF","PrimaryPayerId":"WIWWP","DisplayName":"Wisconsin Well Woman Program","Names":"Wisconsin Department of Health Services","Aliases":"5671|6454|WISC_WWWP|WIWWP|WWWP","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.dhs.wisconsin.gov","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QRWKT","PrimaryPayerId":"37247","DisplayName":"WMI TPA","Names":"WMI Mutual Insurance Company","Aliases":"37247|3827|3980","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"AZ|ID|MT|NV|UT","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.wmimutual.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"UYNXC","PrimaryPayerId":"13413","DisplayName":"Women's Integrated Network Incorporated (WIN Fertility)","Names":"Womens Integrated Network Incorporated (WIN Fertility)","Aliases":"13413|5710","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://winfertility.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AOJEA","PrimaryPayerId":"J1500","DisplayName":"Workforce Safety and Insurance (WSI)","Names":"North Dakota Workforce Safety & Insurance","Aliases":"J1500","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"ND","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.workforcesafety.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PGSNY","PrimaryPayerId":"J4361","DisplayName":"World Trade Center - MCA Sedgwick","Names":"","Aliases":"J4361","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IKQZP","PrimaryPayerId":"31172","DisplayName":"World Trade Center Health Program","Names":"HealthSmart|Innovante Benefit Administrators|WTC Health Program|World Trade Center Health Program|World Trade Center Health Program (WTCHP)","Aliases":"31172|5685|58605|6134","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.cdc.gov/wtc/index.html","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"IXLZG","PrimaryPayerId":"98473","DisplayName":"Worldwide Medical Assurance Ltd Corp","Names":"WorldWide Group|Worldwide Medical Assurance Ltd Corporation","Aliases":"8003|9716|98473","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://wwmedicalassurance.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DXMFK","PrimaryPayerId":"91136","DisplayName":"WPAS","Names":"AGC International Union Operating Engineers Local 701|Alaska Carpenters|Alaska Children's Services Incorporated|Alaska Hotel Employees Restaurant and Camp Employees|Alaska Laborers Construction Industry Trust|Alaska Pipe Traders Local 375|Alaska Public Employees Association|Alaska United Food and Commercial Workers Trust|Allied Metal Crafts Security Plan Trust Fund|Automotive Machinists Local 289 Health and Welfare Fund|Cement Masons and Plasterers Health and Welfare Trust|ENSTAR Natural Gas GP61|Fairbanks North Star Borough|Fairbanks North Star Borough School District Plan A|Fairbanks North Star Borough School District Plan B|Glassworkers Health and Welfare|Hotel Employees and Restaurant Employees Health Trust|Northwest Ironworkers Health and Security Health Fund|Northwest Plumbers and Pipefitters Health and Welfare Trust|Northwest Roofers and Employers Health and Security Trust Fund|Northwest Textile Processors|Operating Engineers Locals 302 and 612 Health and Security Fund|Puget Sound Benefits Trust|Puget Sound Electrical Workers|South Bay Hotel Employees Restaurant Employees Health Trust|University of Washington Students and Graduate Appointments|WPAS Inc|Welfare & Pension Administration Service, Inc.|Welfare Pension Admin Services (WPAS)|West Coast Stationary Engineers Health and Security Trust Fund","Aliases":"1744|6591|66373|91136","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.wpas-inc.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZWAZB","PrimaryPayerId":"SX022","DisplayName":"WPS Health Insurance","Names":"Wisconsin Physicians Service Group Health / WPS|Wisconsin Physicians Service Insurance Corporation","Aliases":"10878|2136|2900|4457|A2185|CMFSN|OOWPS|SX022|ZP1226","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"true","ProfessionalClaimEnrollmentType":"MULTI_STEP","ProfessionalClaimEnrollmentTimeframe":"WEEKS","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"true","InstitutionalClaimEnrollmentType":"MULTI_STEP","InstitutionalClaimEnrollmentTimeframe":"WEEKS","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"WI","Programs":"","PtanRequired":"false","ParentPayerGroupId":"DAKWD","ParentPayerGroupName":"Wisconsin Physicians Service Insurance Group","WebsiteUrl":"https://www.wpshealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HMTFS","PrimaryPayerId":"39185","DisplayName":"WPS Health Plan","Names":"Arise Health Plan|WPS Optum Health|Wisconsin Physicians Service Health Plan","Aliases":"10868|11181|39185|7845|95937|ARISE|WPS","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical|vision","OperatingStates":"IL|WI","Programs":"COMMERCIAL|MEDICARE","PtanRequired":"false","ParentPayerGroupId":"DAKWD","ParentPayerGroupName":"Wisconsin Physicians Service Insurance Group","WebsiteUrl":"https://www.wpshealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"LCEFV","PrimaryPayerId":"LCEFV","DisplayName":"Wright Risk Management – Workers Compensation","Names":"Wright Risk Management","Aliases":"LCEFV","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"WORKERS_COMPENSATION","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ZJXYL","PrimaryPayerId":"23710","DisplayName":"Writers Guild Industry Health","Names":"PWGA Pension & Health Plans|Writer's Guild Industry Health","Aliases":"23710","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.wgaplans.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HVKRQ","PrimaryPayerId":"LV371","DisplayName":"WTC Health Program","Names":"MCA - Sedgwick WTC Health Program|World Trade Center Health Program Nationwide Provider Network","Aliases":"1780|2588|LV371","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.sedgwickworldtradecenter.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XQPGL","PrimaryPayerId":"XQPGL","DisplayName":"WTC Health Program – Workers Compensation","Names":"WTC Health Program (WC)","Aliases":"XQPGL","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PQEUM","PrimaryPayerId":"J1117","DisplayName":"Wyman-Gordon Companies","Names":"Wyman Gordon Companies","Aliases":"J1117","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"AWRNK","PrimaryPayerId":"J1628","DisplayName":"Xcel Energy","Names":"","Aliases":"J1628","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FBHGT","PrimaryPayerId":"J1412","DisplayName":"Xchanging Incorporated","Names":"","Aliases":"J1412","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KZXLP","PrimaryPayerId":"1144685462","DisplayName":"Xincon Hhcs - Jns","Names":"Xincon Home Health Care Services","Aliases":"1144685462","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"NY","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://xinconcare.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"MOCFB","PrimaryPayerId":"J1055","DisplayName":"XL Environmental Incorporated","Names":"","Aliases":"J1055","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"XRMUF","PrimaryPayerId":"XO125","DisplayName":"XO Health","Names":"","Aliases":"XO125","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://xohealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"QFROH","PrimaryPayerId":"60646","DisplayName":"Yale Health","Names":"Yale University Health Plan","Aliases":"5972|60646|9166","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"CT","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://yalehealth.yale.edu","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"TPXAD","PrimaryPayerId":"YAMHL","DisplayName":"Yamhill CCO","Names":"YCCO|Yamhill Community Care Organization|Yamhill Coordinated Care Organization","Aliases":"YAMHILL_CCO|YAMHL","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"OR","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://yamhillcco.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JYXHF","PrimaryPayerId":"77943","DisplayName":"Yamhill CCO Physical Health","Names":"PH Tech|PHTech|YCCO|Yamhill County CCO Mental Health|Yamhill County Coordinated Care Organization Physical Health","Aliases":"1062|77130|77943|77946|7890","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"OR","Programs":"MEDICAID","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://yamhillcco.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"BOYOD","PrimaryPayerId":"PHMD4","DisplayName":"Yamhill County CCO Northern Plains","Names":"","Aliases":"9104|PHMD4","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"OR","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://yamhillcco.org","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"HUTMD","PrimaryPayerId":"51350","DisplayName":"Yerington Paiute Tribe","Names":"","Aliases":"51350","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"PAKGL","PrimaryPayerId":"43160","DisplayName":"YesCare","Names":"","Aliases":"1603|2831|43160","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.yescarecorp.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"CJMBM","PrimaryPayerId":"IHS15","DisplayName":"Yuzu Health","Names":"","Aliases":" IHS15|1426|1524|IHS15","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"true","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://yuzu.health","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"DAYS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"DTLUW","PrimaryPayerId":"J1409","DisplayName":"Zachry Construction","Names":"","Aliases":"J1409","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"KGJYK","PrimaryPayerId":"TLY21","DisplayName":"Zenith American Solutions","Names":"Zenith Administrators (Minnesota)","Aliases":"R7001|TLY21","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"false","ClaimPaymentAdviceEnrollmentRequired":"false","ClaimPaymentEnrollmentType":"","ClaimPaymentEnrollmentTimeframe":"","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.zenith-american.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JVZVP","PrimaryPayerId":"ILWUP","DisplayName":"Zenith Ilwu-Pma","Names":"Zenith Ilwu-Pma","Aliases":"ILWUP","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"VULTK","PrimaryPayerId":"7386647821","DisplayName":"Zenith LuminX","Names":"Harbour Benefit Holdings","Aliases":"1869|20547|7386647821|7649273191","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"false","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"","OperatingStates":"","Programs":"COMMERCIAL","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.zenith-american.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EKSVJ","PrimaryPayerId":"30120","DisplayName":"Zenith National Insurance","Names":"","Aliases":"30120","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"EIXZS","PrimaryPayerId":"83248","DisplayName":"Zing Health","Names":"Zing Choice IL (HMO)|Zing Health Holdings","Aliases":"14462|2097|8246|83248|83248MA|ZINGIL|ZP6220","EligibilityInquiry":"true","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"true","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"MULTI_STEP","ClaimPaymentEnrollmentTimeframe":"HOURS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"dental|medical","OperatingStates":"IL|IN|MI|MS|OH|TN","Programs":"","PtanRequired":"false","ParentPayerGroupId":"CYNME","ParentPayerGroupName":"Zing Health Enterprises Group","WebsiteUrl":"https://www.myzinghealth.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"WDSYR","PrimaryPayerId":"36423","DisplayName":"Zurich American Insurance Company","Names":"","Aliases":"2852|36423|7992","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"WEEKS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://morganwhite.com","ElectronicFundsTransfer":"true","ElectronicFundsTransferEnrollmentRequired":"true","ElectronicFundsTransferEnrollmentType":"MULTI_STEP","ElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"true","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"MULTI_STEP","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"WEEKS","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"JKJGL","PrimaryPayerId":"JKJGL","DisplayName":"Zurich American Insurance Company – Workers Compensation","Names":"Zurich American Insurance Company (WC)","Aliases":"JKJGL","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"false","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"INSTANT","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"true","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"ESIXL","PrimaryPayerId":"J1015","DisplayName":"Zurich Farmers","Names":"","Aliases":"J1015","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""},{"StediId":"FSOPS","PrimaryPayerId":"16535","DisplayName":"Zurich Insurance North America","Names":"","Aliases":"16535|ZP6360","EligibilityInquiry":"false","EligibilityInquiryEnrollmentRequired":"false","EligibilityInquiryEnrollmentType":"","EligibilityInquiryEnrollmentTimeframe":"","EligibilityInquiryEnrollmentRequestedEffectiveDate":"","ClaimStatusInquiry":"false","ClaimStatusInquiryEnrollmentRequired":"false","ClaimStatusInquiryEnrollmentType":"","ClaimStatusInquiryEnrollmentTimeframe":"","ClaimStatusInquiryEnrollmentRequestedEffectiveDate":"","ProfessionalClaim":"true","ProfessionalClaimEnrollmentRequired":"false","ProfessionalClaimEnrollmentType":"","ProfessionalClaimEnrollmentTimeframe":"","ProfessionalClaimEnrollmentRequestedEffectiveDate":"","InstitutionalClaim":"true","InstitutionalClaimEnrollmentRequired":"false","InstitutionalClaimEnrollmentType":"","InstitutionalClaimEnrollmentTimeframe":"","InstitutionalClaimEnrollmentRequestedEffectiveDate":"","DentalClaim":"false","DentalClaimEnrollmentRequired":"false","DentalClaimEnrollmentType":"","DentalClaimEnrollmentTimeframe":"","DentalClaimEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdvice":"true","ClaimPaymentAdviceEnrollmentRequired":"true","ClaimPaymentEnrollmentType":"ONE_CLICK","ClaimPaymentEnrollmentTimeframe":"DAYS","ClaimPaymentEnrollmentSupportedAggregationPreferences":"","ClaimPaymentEnrollmentRequestedEffectiveDate":"","CoordinationOfBenefits":"false","CoordinationOfBenefitsEnrollmentRequired":"false","CoordinationOfBenefitsEnrollmentType":"","CoordinationOfBenefitsEnrollmentTimeframe":"","CoordinationOfBenefitsEnrollmentRequestedEffectiveDate":"","ClaimAttachmentsSupport":"false","ClaimAttachmentsSupportEnrollmentRequired":"false","ClaimAttachmentEnrollmentType":"","ClaimAttachmentEnrollmentTimeframe":"","ClaimAttachmentEnrollmentRequestedEffectiveDate":"","EmployerIdentificationNumbers":"","CoverageTypes":"medical","OperatingStates":"","Programs":"","PtanRequired":"false","ParentPayerGroupId":"","ParentPayerGroupName":"","WebsiteUrl":"https://www.zurichna.com","ElectronicFundsTransfer":"false","ElectronicFundsTransferEnrollmentRequired":"false","ElectronicFundsTransferEnrollmentType":"","ElectronicFundsTransferEnrollmentTimeframe":"","ElectronicFundsTransferEnrollmentRequestedEffectiveDate":"","ClaimPaymentAdviceWithElectronicFundsTransfer":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequired":"false","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentType":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentTimeframe":"","ClaimPaymentAdviceWithElectronicFundsTransferEnrollmentRequestedEffectiveDate":""}]}